MRS. CAROLYN ALLISA SNYDER (R.D., L.D.) – Registered Dietitian, NPI 1124355136

MRS. CAROLYN ALLISA SNYDER (R.D., L.D.) is a healthcare provider. based in Kirksville, Missouri. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials R.D., L.D.. They hold a License No. 1376 (KS). The NPI Number for MRS. CAROLYN ALLISA SNYDER (R.D., L.D.) is 1124355136

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CAROLYN ALLISA SNYDER (R.D., L.D.)
NPI
1124355136
Phone
(785) 317-5440
Address
701 S BRADFORD ST
Enumeration Date
11 November 2009
Last Update Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6606275757
Graduation Year
2008 (18 years ago)
PAC ID
3577857325
Group Practice PAC ID
1658280805
Professional Enrollment ID
I20160802002495
Address ID
MO635551404ME118XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

113 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MO

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Provider Addresses for MRS. CAROLYN ALLISA SNYDER (R.D., L.D.)

  • 701, South Bradford Street, Kirksville, Adair County, Missouri, 63501, United States

    NONE

    KIRKSVILLE, MO 635015403

    Phone: (785) 317-5440

    Fax: (660) 730-5042

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160802002495IRegistered Dietitian Or Nutrition ProfessionalMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658280805View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO
Nurse PractitionerKS
Nurse PractitionerMO
-MO
Family PracticeMO
Family PracticeKS

Reviews

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Frequently asked questions

What is MRS. CAROLYN ALLISA SNYDER (R.D., L.D.)'s NPI number?
MRS. CAROLYN ALLISA SNYDER (R.D., L.D.)'s NPI is 1124355136 — the number used across U.S. healthcare to identify this provider.
Is MRS. CAROLYN ALLISA SNYDER (R.D., L.D.) still an active registrant?
MRS. CAROLYN ALLISA SNYDER (R.D., L.D.) carries an active NPI according to the public dataset.
What kind of doctor is MRS. CAROLYN ALLISA SNYDER (R.D., L.D.)?
MRS. CAROLYN ALLISA SNYDER (R.D., L.D.) is associated with Registered Dietitian in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is MRS. CAROLYN ALLISA SNYDER (R.D., L.D.) registered?
Use Kirksville, Missouri as the headline location for MRS. CAROLYN ALLISA SNYDER (R.D., L.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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