Individual provider Active NPI

Maura Ann Doran-Snyder, FNP-C

  • Family Medicine Physician
  • Longmont, CO
National Provider Identifier
1932715547
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APN00996314-NP Issued in CO
Practice address
700 Tenacity Dr Unit 102
Longmont, CO 80504-8487
Phone
(720) 680-0018
Fax
(720) 680-0019
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APN00996314-NP CO Primary

Addresses

Primary practice location

700 Tenacity Dr Unit 102
Longmont, CO 80504-8487

Mailing address

700 Tenacity Dr Unit 102
Longmont, CO 80504-8487
Phone (720) 680-0018

Other identifiers 1

IdentifierTypeStateIssuer
RXN.0105405NPOtherCODORA COLORADO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210630002626 CO Practitioner - Nurse Practitioner 4385045152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

436 Terry St
Longmont, CO 80501-5442
Phone (720) 680-0018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN00996314-NPCOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Peaks Wound and Wellness Center Wound Care CurrentSince May 16, 2024 Accepting new patients

Locations

700 Tenacity Dr
Unit 102
Longmont, CO 80504
Phone (720) 680-0018

436 Terry St
Longmont, CO 80501
Phone (720) 680-0018

Organizations & group practices 2

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1932715547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TENACITY DR UNIT 102",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048487",
            "telephone_number": "720-680-0018",
            "fax_number": "720-680-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TENACITY DR UNIT 102",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048487",
            "telephone_number": "720-680-0018",
            "fax_number": "720-680-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN-SNYDER",
        "first_name": "MAURA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "APN00996314-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA COLORADO",
            "identifier": "RXN.0105405NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.