Individual provider Active NPI

Ashley Annette Snoke, RDN

  • Registered Dietitian
  • Bala Cynwyd, PA
National Provider Identifier
1962014209
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4360 Issued in MN
Practice address
150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Phone
(800) 203-8657
Fax
(800) 258-1426
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4360 MN Primary

Addresses

Primary practice location

150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725

Mailing address

150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Phone (800) 203-8657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230728000684 PA Practitioner - Registered Dietitian Or Nutrition Professional 8527479450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Food NutritionGroup PAC ID 9739500505, 5 clinicians

Practice addresses (Care Compare)

150 Monument Rd
Suite 207
Bala Cynwyd, PA 19004-1725
Phone (800) 203-8657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4360MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family Food Nutrition Dietitian, Registered CurrentSince Jun 7, 2023 Accepting new patients

Locations

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1962014209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 207",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041725",
            "telephone_number": "800-203-8657",
            "fax_number": "800-258-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 207",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041725",
            "telephone_number": "800-203-8657",
            "fax_number": "800-258-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOKE",
        "first_name": "ASHLEY",
        "middle_name": "ANNETTE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "4360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.