DR. TEDDIE JOE SNODGRASS (NPI# 1821272923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821272923 |
| Entity Type | Individual |
| Full Name | DR. TEDDIE JOE SNODGRASS |
| Credential | DNP, FNP-BC |
| Practice Address |
1130 N Nimitz Hwy Rm A153 Honolulu HI 96817-5777 |
| Mailing Address |
P. O. Box 38c Tsaile AZ 86556 |
| Practice Telephone | 8082655533 |
| Practice Fax Number | 8663231118 |
| Mailing Telephone | 8083427843 |
| Mailing Fax Number | 8663231118 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2018-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 53406 | HI | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024172380 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN-1861 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Falling Rock Rd, Saltville, VA 243703577 | 8082655533 | 8663231118 |
| Street Address |
1130 N NIMITZ HWY RM A153 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-5777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568870442 | Open Door Rx | Pharmacy | 1130 N Nimitz Hwy Rm A153, Honolulu, HI 96817-5777 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1417568098 | Marisa Takiguchi | Nurse Practitioner | 1329 Lusitana St Ste 109, Honolulu, HI 96813-2401 | 2020-08-16 |
| 1265050181 | Lauren Brown | Nurse Practitioner | 524 Kaaahi St, Honolulu, HI 96817-4680 | 2020-07-07 |
| 1972120301 | Elizabeth Ann Watts | Nurse Practitioner | 411 Hobron Ln Apt 2212, Honolulu, HI 96815-1215 | 2020-07-01 |
| 1972126845 | Sarah Pirani | Nurse Practitioner | 1839 Poki St Apt 6, Honolulu, HI 96822-3276 | 2020-05-26 |
| 1497378392 | Hannah Cagle | Nurse Practitioner | 2871 Manoa Rd Apt B, Honolulu, HI 96822-7704 | 2020-05-26 |
| 1881228104 | Ashley Wilkins | Nurse Practitioner | 3165 Noni Ln, Honolulu, HI 96818-1488 | 2020-02-25 |
| 1952933855 | Alicia E. Knowles | Nurse Practitioner | 4211 Waialae Ave Ste 1260, Honolulu, HI 96816-5336 | 2020-02-07 |
| 1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
| 1174004725 | John Murray | Nurse Practitioner | 801 South St Apt 2207, Honolulu, HI 96813-5928 | 2018-08-22 |
| Find all providers in HONOLULU | ||||
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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.