Provider Demographics
NPI:1972999522
Name:SNEDIKER, DIANNA LEA (RN)
Entity Type:Individual
Prefix:MRS
First Name:DIANNA
Middle Name:LEA
Last Name:SNEDIKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:DIANNA
Other - Middle Name:LEA
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:65 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-2907
Mailing Address - Country:US
Mailing Address - Phone:845-742-7887
Mailing Address - Fax:
Practice Address - Street 1:65 GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-2907
Practice Address - Country:US
Practice Address - Phone:845-742-7887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY485848163W00000X, 163WC0400X, 163WG0000X, 163WH0200X, 163WH1000X, 163WI0500X, 163WX0200X
NY445848163WA0400X, 163WC1500X, 163WG0100X, 163WG0600X, 163WH0200X, 163WM0705X, 163WP0200X, 163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No163WX0200XNursing Service ProvidersRegistered NurseOncology