DEREK LEE SNODGRASS NPI 1699327023

NPI Information

NPI: 1699327023
Provider Name: DEREK LEE SNODGRASS
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1000 E PRIMROSE ST STE 170
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-2121
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Derek Lee Snodgrass is a pediatrics nurse practitioner in Springfield, MO. Derek Lee Snodgrass NPI is 1699327023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 E PRIMROSE ST STE 170
SPRINGFIELD, MO
ZIP 65807-192
Phone: (417) 269-2121

The NPI 1699327023 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2019 and was last updated on 7/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	2019026920	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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