SHANNON SNYDER (NPI# 1093372229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093372229 |
| Entity Type | Individual |
| Full Name | SHANNON SNYDER |
| Credential | FNP |
| Practice Address |
803 S Main St Ste 120 Moscow ID 83843-2695 |
| Mailing Address |
203 N Washington St Spokane WA 99201-0233 |
| Practice Telephone | 2088488300 |
| Practice Fax Number | 5094447806 |
| Mailing Telephone | 5094448888 |
| Mailing Fax Number | 5094447608 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 61854 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497210801 | Shannon R Snyder | Counselor | 115 Andrew Ct, Carlisle, PA 17015-4371 | 2019-02-11 |
| 1518448919 | Shannon Lee Snyder | Social Worker | 220 Forbes Rd Rear Suite117, Braintree, MA 02184-2710 | 2018-08-23 |
| 1235303645 | Shannon Snyder | Physical Therapist | 1600 Westbrook Ave Ste 134, Richmond, VA 23227-3326 | 2008-04-16 |
| 1639703424 | Shannon Snyder | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-03-02 |
| 1699215434 | Shannon Michelle Snyder | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-02-27 |
| 1891196796 | Shannon Rae Snyder | Nurse Practitioner | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2014-09-10 |
| 1720407380 | Shannon Snyder | Specialist | 435 4th St, Troy, NY 12180-5324 | 2014-04-10 |
| 1760775142 | Shannon Leslie Snyder | Registered Nurse | 12567 5th Ave N, Suite 100, Zimmerman, MN 55398-8451 | 2011-05-18 |
| 1164668448 | Shannon Renee Snyder | Physician Assistant | 1411 N Flagler Dr, Suite 6100, West Palm Beach, FL 33401-3404 | 2008-12-17 |
| 1417105834 | Shannon Snyder | Speech-Language Pathologist | 1520 Grove St, Loudon, TN 37774-1575 | 2008-08-28 |
| Street Address |
803 S MAIN ST STE 120 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-2695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619936549 | Dan J Schmidt | Family Medicine | 803 S Main St Ste 120, Moscow, ID 83843 | 2006-03-20 |
| 1366085847 | Ashley Ann Tadehara | Dental Hygienist | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2019-10-28 |
| 1396387916 | Community Health Assoc | Pharmacy | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2019-10-15 |
| 1497303879 | Austin Sorensen | Pharmacist | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2019-08-29 |
| 1073095501 | Carmen Lee Koepl | Dental Hygienist | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2018-08-31 |
| 1831695691 | Jillene Amow | Nurse Practitioner | 803 S Main St Ste 120, Moscow, ID 83843 | 2018-04-02 |
| 1528501475 | Dennis Falen | Physician Assistant | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2016-11-27 |
| 1497205652 | Community Health Association of Spokane | Dentist | 803 S Main St Ste 120, Moscow, ID 83843 | 2016-10-11 |
| 1659825073 | Trang Minh Doan | Dentist | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2016-08-15 |
| 1528419959 | Jennifer Rae Arp | Counselor | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780983916 | Danielle Laurie Kamine | Nurse Practitioner | 272 Hamlin Hwy, Moscow, PA 18444-7415 | 2011-03-28 |
| 1811027204 | Michael Lynn | Nurse Practitioner | 2500 West A Ste., Ste #1, Moscow, ID 83843 | 2007-03-06 |
| 1205317856 | Sara B Presol | Nurse Practitioner | 213 N Main St, Moscow, ID 83843-2700 | 2018-08-22 |
| 1831695691 | Jillene Amow | Nurse Practitioner | 803 S Main St Ste 120, Moscow, ID 83843 | 2018-04-02 |
| 1558503581 | Sheri Danielle Erwin | Nurse Practitioner | 2500 W A St, Moscow, ID 83843-6000 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039988 | Seth Thomas Six | Nurse Practitioner | 803 Mill Rd, Lewiston, ID 83501-0745 | 2020-09-25 |
| 1255947255 | Brandon Smith | Nurse Practitioner | 5067 Camden St, Chubbuck, ID 83202-3501 | 2020-09-16 |
| 1407469166 | Mmg LLC | Nurse Practitioner | 80 Cottonwood Ct Ste 150, Eagle, ID 83616-6577 | 2020-08-24 |
| 1588288336 | Katina Ross | Nurse Practitioner | 11695 W Baserri Dr, Boise, ID 83709-1307 | 2020-06-07 |
| 1164043162 | Slavik Osipchuk | Nurse Practitioner | 2329 W Root Creek St, Meridian, ID 83646-4678 | 2020-04-30 |
| 1538708862 | Kay Dawn Martens | Nurse Practitioner | 334 E 200 S, Burley, ID 83318-5433 | 2020-01-03 |
| 1760025639 | Kimberly Watson | Nurse Practitioner | 3536 W Moon Lake St, Meridian, ID 83646-8304 | 2019-10-23 |
| 1932741212 | Kylie B Di Lulo | Nurse Practitioner | 1309 E Fall Ct, Boise, ID 83706-5076 | 2019-10-08 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1649824277 | Bryana Michel Hinck | Nurse Practitioner | 150 W Broderick Dr, Meridian, ID 83646-0009 | 2019-07-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.