Individual provider Active NPI

Tara A Snelson, ARDMS

  • Sonography Radiologic Technologist
  • Pleasant Hill, IA
National Provider Identifier
1144511726
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
102499 Issued in IA
Practice address
5900 E University Ave
Suite 200
Pleasant Hill, IA 50327-8457
Phone
(515) 643-5670
Fax
(515) 643-5671
NPI assigned
Apr 29, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 102499 IA Primary

Addresses

Primary practice location

5900 E University Ave
Suite 200
Pleasant Hill, IA 50327-8457

Mailing address

PO Box 802
Des Moines, IA 50304-0802
Phone (515) 643-5670

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102499IAMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Organizations & group practices 2

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1144511726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503040802",
            "telephone_number": "515-643-5670",
            "fax_number": "515-643-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 E UNIVERSITY AVE",
            "address_2": "SUITE 200",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278457",
            "telephone_number": "515-643-5670",
            "fax_number": "515-643-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELSON",
        "first_name": "TARA",
        "middle_name": "A",
        "credential": "ARDMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "IA",
            "license": "102499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.