Individual provider Active NPI

Rozalyn Osborn Snyder, MSN-FNP-C

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1780407494
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
64310 Issued in NM
Practice address
7501 Holly Ave NE # Studio14
Albuquerque, NM 87113-2629
Phone
(505) 377-4581
NPI assigned
Nov 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 64310 NM Primary

Addresses

Primary practice location

7501 Holly Ave NE # Studio14
Albuquerque, NM 87113-2629

Mailing address

2525 Vista Larga Ave NE
Albuquerque, NM 87106-2647
Phone (773) 495-2260

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107003605 NM Order and Referring Only - Nurse Practitioner 4082142898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64310NMMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1780407494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 VISTA LARGA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062647",
            "telephone_number": "773-495-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 HOLLY AVE NE # STUDIO14",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132629",
            "telephone_number": "505-377-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ROZALYN",
        "middle_name": "OSBORN",
        "name_prefix": "Ms.",
        "credential": "MSN-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "64310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.