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TINA SNODGRASS DERM, PLLC
NPI 1619219581
Nurse Practitioner - Family in Beaver Dam, KY

Active since March 19, 2013
1219 N MAIN ST STE 2, BEAVER DAM, KY 42320(270) 926-0707 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina Snodgrass Derm, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA SNODGRASS DERM, PLLC (NPI 1619219581) is a healthcare organization registered as a family in Beaver Dam, Kentucky and active in the NPI registry since March 2013. The organization lists Tina Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1619219581
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTINA SNODGRASS DERM, PLLC
Location Address1219 N MAIN ST STE 2Beaver Dam, KY 42320-8955
Mailing Address1219 N Main St Ste 2Beaver Dam, KY 42320-8955 · (270) 926-0707
Phone(270) 926-0707
Organization SubpartNo
Authorized OfficialTina SnodgrassPresident · (270) 929-5578
Enumeration DateMarch 19, 2013
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1619219581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3002620
1219 N MAIN ST STE 2, Beaver Dam, KY 42320
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TINA L SNODGRASS APRN, FNP-C
Dermatology
1219 N MAIN ST STE 2
BEAVER DAM, KY 42320
Ohio County (270) 926-0707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Snodgrass Derm, PLLC's NPI number?

The NPI number for Tina Snodgrass Derm, PLLC is 1619219581. It was assigned to this organization in the NPPES registry on March 19, 2013.

Where is Tina Snodgrass Derm, PLLC located?

Tina Snodgrass Derm, PLLC is located at 1219 N Main St Ste 2, Beaver Dam, KY 42320. The listed phone number is (270) 926-0707.

What is Tina Snodgrass Derm, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tina Snodgrass Derm, PLLC was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.