Teddie Joe Snodgrass, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172380 Issued in VA

Practice address

105 Falling Rock Rd
Saltville, VA 24370-3577

Phone

(808) 265-5533

Fax

(866) 323-1118

NPI assigned

Dec 26, 2007

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DHHS PHS Naihs Chinle Comprehensive Health Care Facility

  dba Chinle Comprehensive Health Care Facility

  • General Acute Care Hospital
  • Chinle, AZ
  • NPI 1508800129

  TX

  Medicare reassignment NPD
• Teddie Joe Snodgrass, Inc.

  dba Snodgrass Medical Group

  • Primary Care Clinic/Center
  • Honolulu, HI
  • NPI 1003272386
  Authorized official Same address or phone
• DHHS PHS Naihs Chinle Comprehensive Health Care Facility

  dba Rock Point Field Clinic

  • General Acute Care Hospital
  • Rock Point, AZ
  • NPI 1154344133
  NPD

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1821272923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FALLING ROCK RD",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243703577",
            "telephone_number": "808-342-7843",
            "fax_number": "866-323-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FALLING ROCK RD",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243703577",
            "telephone_number": "808-265-5533",
            "fax_number": "866-323-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 N Nimitz Hwy Rm A153",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968175777",
            "country_code": "US",
            "telephone_number": "808-265-5533",
            "fax_number": "866-323-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "TEDDIE",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1861",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172380",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "53406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Rigolizzo, MD
• Jamie Alley Rose, FNP-BC
• Marcy S Rosenbaum, LCSW
• Saltville Rescue Squad Inc
• Richard George Schambach, DDS
• Pamela McGhee Somervell, M.D.
• Southwest Virginia Community Health Systems Inc (Southwest Virginia Regional Dental Center)
• Southwest Virginia Community Health Systems Inc. (Saltville Community Health Center)
• Southwest Virginia Community Health Systems Incorporated (Northwood Middle School)
• Southwest Virginia Community Health Systems Incorporated (Saltville Elementary School)

• Family Nurse Practitioner in Saltville, VA
• Providers in Saltville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.

Verify at the official NPI Registry.