Stacie Snadon-Ford, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704317802 Issued in MI

Practice address

461 Roland St
Pontiac, MI 48341-2372

Phone

(248) 342-2866

NPI assigned

Dec 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1780929224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 ROLAND ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412372",
            "telephone_number": "248-342-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 ROLAND ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412372",
            "telephone_number": "248-342-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNADON-FORD",
        "first_name": "STACIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704317802",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703107323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelisha Smith
• Lauren Margaret Smith
• Michael Sean Smith, RN
• Sarah Smith, DPT
• Tracie Michele Smith, RN
• Joseph Sneij, MD
• Ashley Marie Snowden, MA, TLLP
• Melanie Barbara Snyder-Lindblom, LMSW
• Adam Jozef Sobilo, MD
• Joyce A Sochacki, NP

• Registered Nurse in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.