Individual provider Active NPI

Monica J Snowden, M.D.

  • Rheumatology Physician
  • Los Alamos, NM
National Provider Identifier
1710085444
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD20110651 Issued in NM
Practice address
3917 West Rd
Suite 150
Los Alamos, NM 87544-2275
Phone
(505) 662-4351
Fax
(505) 662-2932
NPI assigned
Sep 20, 2006
Last updated
Mar 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X C1-0006938 DE
Rheumatology Physician 207RR0500X MD20110651 NM Primary

Addresses

Primary practice location

3917 West Rd
Suite 150
Los Alamos, NM 87544-2275

Mailing address

3917 West Rd
Suite 150
Los Alamos, NM 87544-2275
Phone (505) 662-4351

Other identifiers 1

IdentifierTypeStateIssuer
32721081MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120302000357 NM Practitioner - Rheumatology 8820902380 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0006938DEMDRheumatology Physician
MD20110651NMMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Alamos Physician Practices LLC CurrentSince Apr 1, 2013 Accepting new patients
Los Alamos Physician Practices, LLC CurrentSince Apr 1, 2013 Accepting new patients
Los Alamos Medical Care Clinic LTD CurrentSince Jun 4, 2014 Accepting new patients
Winslow Indian Health Care Center, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030

3917 West Rd
Ste 150
Los Alamos, NM 87544
Phone (505) 662-4351

3917 West Rd
Ste D
Los Alamos, NM 87544
Phone (505) 661-8900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1710085444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "SUITE 150",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "SUITE 150",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "MONICA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "DE",
            "license": "C1-0006938",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "MD20110651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32721081",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

Verify at the official NPI Registry.