Individual provider Active NPI

Dawn Kay Snodgrass, NNP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1881901536
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209009773 Issued in IL
Practice address
615 S New Ballas Rd Ste 2016B
Saint Louis, MO 63141-8221
Phone
(314) 251-5860
Fax
(314) 251-5861
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X 2010027554 MO
Neonatal Nurse Practitioner 363LN0000X 2010027554 MO
Nurse Practitioner 363L00000X 209009773 IL Primary

Addresses

Primary practice location

615 S New Ballas Rd Ste 2016B
Saint Louis, MO 63141-8221

Mailing address

5111 Hayston CT.
St. Charles, MO 63304-7576
Phone (314) 313-4283

Other practice location 1

9515 Holy Cross Ln
Breese, IL 62230-3618
Phone (618) 526-4511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsnodgrass400332@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130729000449 IL Practitioner - Nurse Practitioner 1951542281 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209009773ILMDNurse Practitioner
2010027554MOMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SJL Health Systems Inc CurrentSince Feb 5, 2024 Accepting new patients
HSHS Medical Group Inc CurrentSince Feb 5, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince Jun 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 1, 2021 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 1, 2021 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
Pediatrix Medical Group of Kansas PA Past Accepting new patients

Locations

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Interoperability endpoints

  • Direct secure messaging: dsnodgrass400332@ewd.direct.hshs.org

Organizations & group practices 9

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1881901536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 HAYSTON CT.",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633047576",
            "telephone_number": "314-313-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD STE 2016B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-5860",
            "fax_number": "314-251-5861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9515 Holy Cross Ln",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303618",
            "country_code": "US",
            "telephone_number": "618-526-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "DAWN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "MO",
            "license": "2010027554",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MO",
            "license": "2010027554",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsnodgrass400332@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "9515 Holy Cross Ln",
            "city": "Breese",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622303618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.