Individual provider Active NPI

Kendra D Snyder, ARNP

  • Family Nurse Practitioner
  • St Johns, FL
National Provider Identifier
1780019406
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9263007 Issued in FL
Practice address
430 Sr 13
St Johns, FL 32259
Phone
(904) 287-6369
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9263007 FL Primary

Addresses

Primary practice location

430 Sr 13
St Johns, FL 32259

Mailing address

430 Sr 13
Jacksonville, FL 32259
Phone (904) 287-6369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140127001244 FL Practitioner - Nurse Practitioner 1658500483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians

Practice addresses (Care Compare)

4509 Saint Johns Ave
Suite 4
Jacksonville, FL 32210-1854
Phone (904) 339-7335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9263007FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Sep 12, 2022 Accepting new patients
Infusion Express of Kansas LLC Past Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

9734 Deer Lake Ct
Ste 6
Jacksonville, FL 32246
Phone (904) 339-7341

10400 San Jose Blvd
Ste 13
Jacksonville, FL 32257
Phone (904) 339-7331

4509 Saint Johns Ave
Ste 4
Jacksonville, FL 32210
Phone (904) 339-7334

586 Marsh Landing Pkwy
Jacksonville Beach, FL 32250
Phone (904) 478-8441

Organizations & group practices 2

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1780019406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SR 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32259",
            "telephone_number": "904-287-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SR 13",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "32259",
            "telephone_number": "904-287-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KENDRA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9263007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johns, FL

Sources for this page

Verify at the official NPI Registry.