Lisa Dawn Snook, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA059550 Issued in PA

Practice address

759 Susquehanna TRL
Watsontown, PA 17777-8109

Phone

(570) 538-1240

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Dawn Miller Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Geisinger Clinic

  • Hospitalist Physician
  • Wilkes Barre, PA
  • NPI 1588614358
  NPD (past)
• Habit Opco, LLC

  dba Habit OPCO- Springfield

  • Methadone Clinic
  • Springfield, MA
  • NPI 1023175072
  NPD (past)
• Habit Opco, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fitchburg, MA
  • NPI 1255034880
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1164932323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 SUSQUEHANNA TRL",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177778109",
            "telephone_number": "570-538-1240",
            "fax_number": "570-538-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 SUSQUEHANNA TRL",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177778109",
            "telephone_number": "570-538-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2813 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Mifflintown",
            "state": "PA",
            "postal_code": "170599078",
            "country_code": "US",
            "telephone_number": "717-436-8283",
            "fax_number": "717-436-8351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Choate Cir",
            "address_purpose": "LOCATION",
            "city": "Montoursville",
            "state": "PA",
            "postal_code": "177549791",
            "country_code": "US",
            "telephone_number": "570-368-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOOK",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MA059550",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lboop153184@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Choate Cir",
            "city": "Montoursville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177549791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.snook@ctcprograms.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "759 Susquehanna Trl",
            "city": "Watsontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177778109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MILLER",
            "middle_name": "DAWN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corinna R Rowe
• Santina Sacavage
• Jacqueline Schultz
• Nicole Shoemaker
• Debra Kay Showers
• Tanya Snyder, COTAL
• Robert Charles Stahlnecker, MSPT
• Team Watsontown Healthcare LLC (Watsontown Health and Rehab Center)
• Wa Operating LLC (Watsontown Rehabilitation and Nursing Center)
• Warrior Run Area Ambulance

• Physician Assistant in Watsontown, PA
• Providers in Watsontown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.