Derek Lee Snodgrass

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2019026920 Issued in MO

Practice address

1000 E Primrose St Ste 170
Springfield, MO 65807-5192

Phone

(417) 269-2121

NPI assigned

Jul 16, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cox-Monett Hospital, Inc.

  dba CoxHealth Urgent Care Monett

  • Urgent Care Clinic/Center
  • Monett, MO
  • NPI 1205387289
  Medicare reassignment NPD
• Lester E Cox Medical Centers

  dba CoxHealth Center Campbell

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1447324660
  Medicare reassignment NPD
• Lester E Cox Medical Centers

  dba Coxhealth Urgent Care Ozark

  • Urgent Care Clinic/Center
  • Ozark, MO
  • NPI 1669923884
  Medicare reassignment NPD
• Lester E. Cox Medical Centers

  dba Shell Knob Family Medicine

  • Family Medicine Physician
  • Shell Knob, MO
  • NPI 1538334396
  Medicare reassignment NPD
• Skaggs Community Hospital Association

  dba CoxHealth Urgent Care Branson

  • Urgent Care Clinic/Center
  • Branson, MO
  • NPI 1255870853
  Medicare reassignment NPD
• Cox-Monett Hospital, Inc.

  dba Cox Monett Hospital

  • Emergency Medicine Physician
  • Monett, MO
  • NPI 1669687125
  NPD
• Lester E Cox Medical Centers

  dba Coxhealth Virtual Visits

  • Family Nurse Practitioner
  • Springfield, MO
  • NPI 1215329610
  NPD
• Lester E Cox Medical Centers

  dba CoxHealth Advantage Care Clinic

  • Geriatric Medicine (Internal Medicine) Physician
  • Springfield, MO
  • NPI 1356068605
  NPD
• Skaggs Community Hospital Association

  dba CoxHealth Family Medicine Branson

  • Family Medicine Physician
  • Branson, MO
  • NPI 1356291298
  NPD
• Lester E Cox Medical Centers

  dba Springfield Inpatient Physicians

  • Hospitalist Physician
  • Springfield, MO
  • NPI 1952355646
  NPD (past)
• Lester E. Cox Medical Centers

  dba Southwest Spine & Sports

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MO
  • NPI 1033291125
  NPD (past)
• Skaggs Community Hospital Association

  dba CoxHealth Orthopedics

  • Orthopaedic Surgery Physician
  • Branson, MO
  • NPI 1871523357
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1699327023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 KINGS WAY DR",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657068048",
            "telephone_number": "417-763-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST STE 170",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075192",
            "telephone_number": "417-269-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "DEREK",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2019026920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Joy Snider, NP-C
• Jessica Nicole Snider, D.O.
• Nolan C. Snider, MD
• Rebekah Lynn Snider, NP
• Alexa Renee Snodgrass
• Kelley M Snow Watson, MA, LPC
• Jon F Snow, MD
• Jayelee Snowden, LPC
• Kristen Ruth Snyder-Hernandez, MD
• Christina Snyder, DNP, APRN, FNP-C

• Pediatric Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.