Individual provider Active NPI

Rebecka Snider, RN

  • Registered Nurse
  • Fairbanks, AK
National Provider Identifier
1700433562
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
147280 Issued in AK
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

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
147280AKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Native Association PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.