BREANNA SNYDER (NPI# 1487004867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487004867 |
| Entity Type | Individual |
| Full Name | BREANNA SNYDER |
| Practice Address |
1515 Lake Havasu Ave N Lake Havasu City AZ 86404-1177 |
| Practice Telephone | 9288545439 |
| Practice Fax Number | 9288545440 |
| Mailing Telephone | 9288545439 |
| Mailing Fax Number | 9288545440 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA STATE BOARD OF OCCUPATIONAL THERAPY | 6378 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306301809 | Breanna Snyder | Behavior Technician | 473 N Kirkwood Rd # 1, Kirkwood, MO 63122-3911 | 2019-02-08 |
| Street Address |
1515 LAKE HAVASU AVE N |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86404-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518361195 | Steven Elzinga | Occupational Therapist | 1515 Lake Havasu Ave N, Suite #100, Lake Havasu City, AZ 86404-1177 | 2014-10-10 |
| 1790252013 | Katie Danielle Crum | Occupational Therapy Assistant | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2018-10-24 |
| 1457878340 | Elizabeth A Smith | Occupational Therapy Assistant | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2017-08-23 |
| 1760926786 | Taylor Campbell | Specialist/Technologist | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2016-12-09 |
| 1215487376 | Milemarkers Therapy | Speech-Language Pathologist | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2016-10-12 |
| 1336594951 | Milemarkers Therapy | Exclusive Provider Organization | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2016-05-02 |
| 1275913998 | Erin Rocco | Specialist/Technologist | 1515 Lake Havasu Ave N, #100, Lake Havasu City, AZ 86404-1177 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091241 | Scott Schultz | Physician Assistant | 1055 N 500 W Ste 121, Building C, Provo, UT 86404 | 2018-01-17 |
| 1093181968 | Chelsea Bailey | Occupational Therapist | 1515 N. Lake Havasu Avenue, Suite #100, Lake Havasu City, AZ 86404 | 2015-08-14 |
| 1952681520 | Jason John George | Physical Therapist | 1515 N. Lake Havasu Ave, #100, Lake Havasu City, AZ 86404 | 2011-08-26 |
| 1396079323 | Desert Hills Fire District | Personal Emergency Response Attendant | 3983 London Bridge Rd, Lake Havasu City, AZ 86404 | 2009-09-23 |
| 1548446990 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5651 Hwy 95 North, Lake Havasu, AZ 86404 | 2008-01-16 |
| 1386701431 | Colleen Lynn Mcshea | Speech-Language Pathologist | 1515 N. Lake Havasu Ave., Suite 100, Lake Havasu City, AZ 86404 | 2007-01-01 |
| 1053978593 | Andrew David Skorheim | Pharmacist | Walmart Pharmacy, 5695 Highway 95 N, Lake Havasu City, AZ 86404 | 2019-05-21 |
| 1629507272 | Stephanie Rose Centera | Specialist/Technologist | 1515 N. Lake Havasu Ave., Ste #100, Lake Havasu City, AZ 86404 | 2017-06-07 |
| 1104267491 | Nicole B. Buth | Speech-Language Pathologist | 1515 N. Lake Havasu Ave, Ste #100, Lake Havasu City, AZ 86404 | 2013-07-15 |
| 1275853871 | Karen Ann Olsavsky | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2010-06-04 |
| Find all providers in zip 86404 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629472774 | Celina Fain | Specialist | 55 Lake Havasu Ave S Ste L, Lake Havasu City, AZ 86403-0938 | 2014-10-17 |
| 1710321336 | Patrick Liewer | Specialist | 4020 Tierra Vista Dr, Lake Havasu City, AZ 86406-4407 | 2013-04-25 |
| 1275899916 | Sherry L Mcguire | Specialist | English Village, Suite 315, Lake Havasu City, AZ 86403-0802 | 2012-04-06 |
| 1326276262 | Sleep Disorders Center of Prescott Valley LLC | Specialist | 1840 Mesquite Ave Ste B, Lake Havasu City, Lake Havasu City, AZ 86403-5771 | 2009-06-30 |
| 1164550950 | Southwest Surgery, LLC | Specialist | 1972 Mesquite Ave, Lake Havasu City, AZ 86403-5729 | 2007-03-01 |
| 1689719817 | Havasu Women's Health Center PC | Specialist | 1840 Mesquite Ave Ste H, Lake Havasu City, AZ 86403-5771 | 2007-02-21 |
| 1265447718 | Sleep Resource Consulting Service LLC | Specialist | 1695 Mesquite Ave Ste 110, Lake Havasu City, AZ 86403-5684 | 2006-07-30 |
| 1881648293 | Warren Tracy Hankins | Specialist | 2010 Injo Dr, Lake Havasu City, AZ 86403-5707 | 2006-05-20 |
| 1659357929 | Tin T Win | Specialist | 2180 Mcculloch Blvd N, Lake Havasu City, AZ 86403-6879 | 2005-12-19 |
| 1386646081 | Mandeep Powar | Specialist | 1775 Mcculloch Blvd N, Lake Havasu City, AZ 86403-6549 | 2005-08-11 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86404 |
Please comment or provide details below to improve the information on BREANNA SNYDER.
| 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.