Individual provider Active NPI

Leah Cobb Snodgrass, M.D.

  • Psychiatry Physician
  • New Tazewell, TN
National Provider Identifier
1063699353
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
TP662 Issued in KY
Practice address
424 N Broad St
New Tazewell, TN 37825-6606
Phone
(423) 869-7193
Fax
(423) 869-7195
NPI assigned
Jan 29, 2008
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X TP662 KY Primary

Addresses

Primary practice location

424 N Broad St
New Tazewell, TN 37825-6606

Mailing address

165 Westmoreland St
Harrogate, TN 37752-8202
Phone (423) 869-7193

Other practice location 1

165 Westmoreland St
Harrogate, TN 37752-8202
Phone (423) 869-7193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Memorial University Current Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Cumberland River Behavioral Health, Inc PastSince Jan 6, 2010 Accepting new patients

Locations

165 Westmoreland St
Harrogate, TN 37752
Phone (423) 441-8011

424 N Broad St
New Tazewell, TN 37825
Phone (423) 259-5700

840 England Industrial Rd
New Tazewell, TN 37825
Phone (423) 869-7193

Interoperability endpoints

  • Direct secure messaging: leahcobbsnodgrass@arh.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1063699353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WESTMORELAND ST",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528202",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N BROAD ST",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378256606",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Westmoreland St",
            "address_purpose": "LOCATION",
            "city": "Harrogate",
            "state": "TN",
            "postal_code": "377528202",
            "country_code": "US",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "LEAH",
        "middle_name": "COBB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "TP662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.