Individual provider Active NPI

Jackie Lynn Snell, M.D.

  • Family Medicine Physician
  • Friendswood, TX
National Provider Identifier
1114229366
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7903 Issued in TX
Practice address
102 N Friendswood Dr
Friendswood, TX 77546-3747
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Nov 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7903 TX Primary

Addresses

Primary practice location

102 N Friendswood Dr
Friendswood, TX 77546-3747

Mailing address

PO Box 392929
Pittsburgh, PA 15251-9900
Phone (713) 461-2915

Other practice location 1

5150 Crenshaw Rd Ste A100
Pasadena, TX 77505-3095
Phone (713) 396-2820

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jackie.snell.1@13711.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013001608 TX Practitioner - Family Practice 2264852268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gilbert Family Practice PLLCGroup PAC ID 9638511678, 3 clinicians

Practice addresses (Care Compare)

5150 Crenshaw Rd
Suite A100
Pasadena, TX 77505-3095
Phone (713) 396-2820

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • St Luke'S Patients Medical Center Hospital, Pasadena, TX, CCN 670031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Family Practice PLLC Family Medicine CurrentSince Oct 14, 2024 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Sep 10, 2023 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine PastSince Oct 1, 2020 Accepting new patients
JWS Health Consultants, Inc. Past Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

5150 Crenshaw Rd
Ste A100
Pasadena, TX 77505
Phone (713) 396-2820

Organizations & group practices 4

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1290211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1114229366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392929",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N FRIENDSWOOD DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463747",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Crenshaw Rd Ste A100",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775053095",
            "country_code": "US",
            "telephone_number": "713-396-2820",
            "fax_number": "346-857-0190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNELL",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-20",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackie.snell.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "102 N Friendswood Dr",
            "city": "Friendswood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775463747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.