Lisa Dawn Snow, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PENDING- TEMPORARY Issued in TX

Practice address

1901 Medi Park Dr
BLDG D Suite 2051
Amarillo, TX 79106-2110

Phone

(806) 359-0718

Fax

(806) 359-9613

NPI assigned

Oct 22, 2009

Last updated

Oct 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lsnow@aubreysmith.emadirect.md

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.

• Aubrey Lyndol Smith III, MD

  • Orthopaedic Surgery Physician
  • Amarillo, TX
  • NPI 1487757688
  Medicare reassignment
• Family Medicine Centers Lab L P

  • Clinical Medical Laboratory
  • Amarillo, TX
  • NPI 1972515765
  NPD (past)
• FMC Clinics, P.a.

  dba dba Living Well Express Care

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1578756771
  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1073849238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "BLDG D SUITE 2051",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-359-0718",
            "fax_number": "806-359-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "BLDG D SUITE 2051",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-359-0718",
            "fax_number": "806-359-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PENDING- TEMPORARY",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PENDING - TEMPORARY",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Edwin Smith, MD
• Tracey Leigh Smith, DNP, APRN, FNP-BC
• Tyler Charles Smith, O.D.
• Ryan Batson Smithee, M.D.
• Kathryn Uher Snider, RN
• Lorinda R Snow, LPC
• Tabatha Renee Snow, LCDC
• Darren James Snyder, LPC
• Pamela Lynn Snyder, FNP-C
• Rush Alexander Snyder Jr., MD

• Medical Physician Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.