Individual provider Active NPI

Carrie Calabrese Snyder, MSN, CRNP

  • Primary Care Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1831428093
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP010290 Issued in PA
Practice address
550 S Goddard Blvd
King of Prussia, PA 19406-2922
Phone
(610) 337-3232
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP010290 PA Primary

Addresses

Primary practice location

550 S Goddard Blvd
King of Prussia, PA 19406-2922

Mailing address

3550 Market St
4TH Floor - Adolescent Care Center
Philadelphia, PA 19104-3329
Phone (215) 590-3537

Other practice location 1

3550 Market St
4th Floor - Adolescent Care Center
Philadelphia, PA 19104-3329
Phone (215) 590-3537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211230000108 PA Practitioner - Nurse Practitioner 4880085851 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childen'S Health Care Associates Inc. CurrentSince Aug 21, 2021 Accepting new patients
Childrens Health Care Associates, Inc Current Accepting new patients
Children'S Health Care Associates CurrentSince Aug 21, 2021 Accepting new patients
Childrens Health Care Associates of New Jersey PC Past Accepting new patients

Locations

100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232

3550 Market St
Philadelphia, PA 19104
Phone (215) 590-2178

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3550 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 590-2178

Organizations & group practices 4

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1831428093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 MARKET ST",
            "address_2": "4TH FLOOR - ADOLESCENT CARE CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043329",
            "telephone_number": "215-590-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S GODDARD BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062922",
            "telephone_number": "610-337-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Market St",
            "address_2": "4th Floor - Adolescent Care Center",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043329",
            "country_code": "US",
            "telephone_number": "215-590-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "CARRIE",
        "middle_name": "CALABRESE",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP010290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.