Rebecca Danielle Snider, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN290068 Issued in GA

Practice address

346 Deep South Farm Rd Ste a
Blairsville, GA 30512-2218

Phone

(706) 745-9417

NPI assigned

Oct 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Sisters of Mercy Urgent Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Boone, NC
  • NPI 1366336299
  NPD (past)

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1811249360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 DEEP SOUTH FARM RD STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122218",
            "telephone_number": "706-745-9417",
            "fax_number": "828-255-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 DEEP SOUTH FARM RD STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122218",
            "telephone_number": "706-745-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "REBECCA",
        "middle_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN290068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP-C LICENSE",
            "identifier": "RN290068",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003245519A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrest Baker Simpson, NURSE PRACTITIONER
• Joelle Marie Smart, LMT, NMT
• Christopher Gerald Smith, PHARMD
• Megan Christine Smith, DO
• Wendy L Smith, M.D.
• Southeast Eye Group LLC
• Southland Medical Group, LLC
• Southland Union Emergency Medical Services, LLC
• Kimberly Albury Spade, M.ED., CCC-SLP
• Gwen Sparkman, M.ED. CCC-SLP

• Family Nurse Practitioner in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.