Active NPI
David A Snyder
- Professional Counselor
- Richmond, KY
National Provider Identifier
1700213550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1577
- Practice address
- 350 Radio Park Dr
Richmond, KY 40475-2346 - Phone
- (859) 582-3776
- Fax
- (859) 254-2075
- NPI assigned
- Oct 10, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1577 | KY | Primary |
Addresses
Primary practice location
350 Radio Park Dr
Richmond, KY 40475-2346
Mailing address
900 Beasley St
Lexington, KY 40509-4266
Phone (859) 254-1035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0700X | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1577 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1700213550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BEASLEY ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094266",
"telephone_number": "859-254-1035",
"fax_number": "859-254-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 RADIO PARK DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752346",
"telephone_number": "859-582-3776",
"fax_number": "859-254-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "DAVID",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-10",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "1577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1041C0700X",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.