Individual provider Active NPI

Priscilla Carter Snodgrass, M.D.

  • Gastroenterology Physician
  • Lubbock, TX
National Provider Identifier
1114966363
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
H6101 Issued in TX
Practice address
3801 50TH St
Lubbock, TX 79413-3859
Phone
(806) 771-5550
Fax
(806) 771-5511
NPI assigned
Jun 5, 2006
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X H6101 TX Primary

Addresses

Primary practice location

3801 50TH St
Lubbock, TX 79413-3859

Mailing address

PO Box 6248
Lubbock, TX 79493-6248
Phone (806) 771-5550

Other identifiers 1

IdentifierTypeStateIssuer
129149406MedicaidTX

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
I20041119000788 TX Practitioner - Gastroenterology 8628033552 Practice locations: Lubbock, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6101TXMDGastroenterology Physician

Interoperability endpoints

  • Direct secure messaging: pcartersnodgrassmd@pcsm-tx.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1114966363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6248",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794936248",
            "telephone_number": "806-771-5550",
            "fax_number": "806-771-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133859",
            "telephone_number": "806-771-5550",
            "fax_number": "806-771-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "PRISCILLA",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "H6101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129149406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.