Vickey Lynne Snow, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A005087 Issued in AR

Practice address

1309 W Main St
Walnut Ridge, AR 72476-1430

Phone

(870) 886-3211

Fax

(870) 886-9027

NPI assigned

Mar 13, 2017

Last updated

Mar 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23407/brand/1/csg/1/fhir/r4
• Direct secure messaging: vickey.snow.1@23407.direct.athenahealth.com

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.

• Spring River Clinic, LLC

  • Primary Care Clinic/Center
  • Imboden, AR
  • NPI 1598356982
  Medicare reassignment NPD
• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1114468923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724760839",
            "telephone_number": "870-886-3211",
            "fax_number": "870-886-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W MAIN ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761430",
            "telephone_number": "870-886-3211",
            "fax_number": "870-886-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "VICKEY",
        "middle_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "A005087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shme, Inc
• Susan H Simmons, RN MHPP
• Kimberly Ann Slusser, CNS
• Allyson Claire Smith, MHPP
• Heather Leigh Smith, QBHP
• Southern Eye Associates, LTD
• Sebastian A. Spades III, M.D.
• Clay R Spencer, M.D.
• State of Arkansas (Lawrence County Health Unit)
• Michael Leon Steele, QBHP

• Family Medicine Physician in Walnut Ridge, AR
• Providers in Walnut Ridge, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.