Active NPI
Dawn Kay Snodgrass, NNP
- Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209009773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209009773 | IL | MD | Nurse Practitioner |
| 2010027554 | MO | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJL Health Systems Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1154908929
-
- Skilled Nursing Facility
- Pana, IL
- NPI 1215037353
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
-
- Neonatal-Perinatal Medicine Physician
- Wichita, KS
- NPI 1346347051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.