Tina Snodgrass Derm, PLLC
NPI 1619219581ActiveOrganization· Nurse Practitioner, Family· Beaver Dam, KY
Nurse Practitioner, Family in Beaver Dam, Kentucky, registered in NPPES in March 2013. The authorized official on file is Tina Snodgrass, APRN, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619219581 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2013 |
| Last updated in NPPES | Dec 5, 2024 |
| Certified by provider | Dec 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 3002620 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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