Active NPI
Terri Lee Snyder, NURSE PRACTITIONER
- Family Nurse Practitioner
- Susanville, CA
National Provider Identifier
1902093362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 403278
- Practice address
- 705 West St
Susanville, CA 96130-4834 - Phone
- (530) 257-7251
- NPI assigned
- Oct 1, 2007
- Last updated
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 403278 | CA | Primary |
Addresses
Primary practice location
705 West St
Susanville, CA 96130-4834
Mailing address
713-400 Jeter Rd
Janesville, CA 96114
Phone (530) 386-4487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 403278 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1902093362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713-400 JETER RD",
"city": "JANESVILLE",
"state": "CA",
"postal_code": "96114",
"telephone_number": "530-386-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 WEST ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961304834",
"telephone_number": "530-257-7251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "TERRI",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "403278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.