Active NPI
Gena Snead, NURSE
- Home Health Agency
- Flagler Beach, FL
National Provider Identifier
1194127100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- PN5181900
- Practice address
- 1625 S Central Ave
Flagler Beach, FL 32136-3850 - Phone
- (727) 729-2981
- NPI assigned
- Sep 22, 2014
- Last updated
- Dec 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PN5181900 | FL | Primary |
| Home Infusion Agency | 251F00000X | PN5181900 | FL | |
| Adult Companion | 372600000X | PN5181900 | FL | |
| Home Health Aide | 374U00000X | PN5181900 | FL | |
| Homemaker | 376J00000X | PN5181900 | FL | |
| Licensed Practical Nurse | 164W00000X | PN5181900 | FL |
Addresses
Primary practice location
1625 S Central Ave
Flagler Beach, FL 32136-3850
Mailing address
1625 S Central Ave
Flagler Beach, FL 32136-3850
Phone (727) 729-2981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194127100 | Other | FL | NPI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5181900 | FL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inc Infusion | Home Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1194127100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 S CENTRAL AVE",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321363850",
"telephone_number": "727-729-2981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 S CENTRAL AVE",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321363850",
"telephone_number": "727-729-2981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNEAD",
"first_name": "GENA",
"credential": "NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "PN5181900",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "FL",
"license": "PN5181900",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "PN5181900",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "PN5181900",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "PN5181900",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5181900",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1194127100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagler Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.