Individual provider Active NPI

Tina Lynn Snyder, FNP

  • Nurse Practitioner
  • Superior, CO
National Provider Identifier
1982900106
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0990703-NP Issued in CO
Practice address
3141 Huron Peak Ave
Superior, CO 80027-4628
Phone
(731) 610-7379
NPI assigned
Feb 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0990703-NP CO Primary
Family Medicine Physician 207Q00000X 990703 CO

Addresses

Primary practice location

3141 Huron Peak Ave
Superior, CO 80027-4628

Mailing address

3141 Huron Peak Ave
Superior, CO 80027-4628
Phone (731) 610-7379

Other practice location 1

430 Cw White Dr
Morris Chapel, TN 38361-4143
Phone (731) 610-7379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
990703COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healthcare, PLLC Past Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients

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": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1982900106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 HURON PEAK AVE",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274628",
            "telephone_number": "731-610-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 HURON PEAK AVE",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274628",
            "telephone_number": "731-610-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Cw White Dr",
            "address_purpose": "LOCATION",
            "city": "Morris Chapel",
            "state": "TN",
            "postal_code": "383614143",
            "country_code": "US",
            "telephone_number": "731-610-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TINA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0990703-NP",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "990703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

Verify at the official NPI Registry.