Active NPI
Kathleen A Snyder, A.N.P.
- Adult Health Nurse Practitioner
- Warsaw, NY
National Provider Identifier
1770966657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307310-1
- Practice address
- 2261 State Route 19 N
Warsaw, NY 14569-9334 - Phone
- (585) 786-2290
- Fax
- (585) 786-2853
- NPI assigned
- Jul 9, 2015
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307310-1 | NY | Primary |
Addresses
Primary practice location
2261 State Route 19 N
Warsaw, NY 14569-9334
Mailing address
PO Box 230
Warsaw, NY 14569-0230
Phone (585) 786-2290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150925000934 | NY | Practitioner - Nurse Practitioner | 0345558235 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F307310-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayoumi Medical PLLC | Adult Health | Past | Accepting new patients |
Interoperability endpoints
- kathleen.snyder@bayoumimedical.chartmakerdirect.com
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": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1770966657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230",
"city": "WARSAW",
"state": "NY",
"postal_code": "145690230",
"telephone_number": "585-786-2290",
"fax_number": "585-786-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2261 STATE ROUTE 19 N",
"city": "WARSAW",
"state": "NY",
"postal_code": "145699334",
"telephone_number": "585-786-2290",
"fax_number": "585-786-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "A.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307310-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.