Active NPI
Brandi Snyder
- Pediatric Nurse Practitioner
- Brownstown TWP, MI
National Provider Identifier
1932860277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4704343680
- Practice address
- 23050 West Rd Ste 110
Brownstown TWP, MI 48183-1470 - Phone
- (734) 671-9800
- NPI assigned
- Jan 9, 2022
- Last updated
- Jan 9, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4704343680 | MI | Primary |
Addresses
Primary practice location
23050 West Rd Ste 110
Brownstown TWP, MI 48183-1470
Mailing address
1506 Falcon CV
Waterville, OH 43566-8611
Phone (419) 460-1757
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 |
|---|---|---|---|
| 4704343680 | MI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Pediatric Associates P.C. | Past | Accepting new patients |
Interoperability endpoints
- bsnyder781715@direct.hfhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Brownstown TWP, MI
- NPI 1124137534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641686400000",
"number": "1932860277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 FALCON CV",
"city": "WATERVILLE",
"state": "OH",
"postal_code": "435668611",
"telephone_number": "419-460-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23050 WEST RD STE 110",
"city": "BROWNSTOWN TWP",
"state": "MI",
"postal_code": "481831470",
"telephone_number": "734-671-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "BRANDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-09",
"last_updated": "2022-01-09",
"certification_date": "2022-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704343680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownstown TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.