Active NPI
Rebecka Snider, RN
- Registered Nurse
- Fairbanks, AK
National Provider Identifier
1700433562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 147280
- Practice address
- 1027 Evergreen St
Fairbanks, AK 99709-4306 - Phone
- (907) 451-8164
- Fax
- (907) 451-0273
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 147280 | AK | Primary |
Addresses
Primary practice location
1027 Evergreen St
Fairbanks, AK 99709-4306
Mailing address
1027 Evergreen St
Fairbanks, AK 99709-4306
Phone (907) 451-8164
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rsnider@fairbanksnative.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147280 | AK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Native Association | Past | Accepting new patients |
Interoperability endpoints
- rsnider@fairbanksnative.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Fairbanks, AK
- NPI 1578736211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1700433562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 EVERGREEN ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094306",
"telephone_number": "907-451-8164",
"fax_number": "907-451-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 EVERGREEN ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094306",
"telephone_number": "907-451-8164",
"fax_number": "907-451-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "REBECKA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "147280",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rsnider@fairbanksnative.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1027 Evergreen St",
"city": "Fairbanks",
"state": "AK",
"country_code": "US",
"postal_code": "997094306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.