Active NPI
Tara Beth Snell, PA-C
- Physician Assistant
- Memphis, TN
National Provider Identifier
1154628709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1937
- Practice address
- 760 E Brookhaven Cir
Memphis, TN 38117-4502 - Phone
- (901) 761-0500
- NPI assigned
- Feb 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1937 | TN | Primary |
Addresses
Primary practice location
760 E Brookhaven Cir
Memphis, TN 38117-4502
Mailing address
760 E Brookhaven Cir
Memphis, TN 38117-4502
Phone (901) 761-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1937 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tratan LLC | Past | Accepting new patients | |
| Broken Bow Clinic PC | Past | Accepting new patients |
Interoperability endpoints
- tara.snell.1@3694.direct.athenahealth.com
- dshepler@directaddress.net
- https://api.platform.athenahealth.com/3694/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Dermatology Physician
- Memphis, TN
- NPI 1144413147
-
- Clinic/Center
- Memphis, TN
- NPI 1134427396
-
- Family Medicine Physician
- Broken Bow, NE
- NPI 1528151651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1154628709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 E BROOKHAVEN CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174502",
"telephone_number": "901-761-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 E BROOKHAVEN CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174502",
"telephone_number": "901-761-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNELL",
"first_name": "TARA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.