Active NPI
Etiennette Genevieve Sneed, FNP
- Nurse Practitioner
- Prescott, AZ
National Provider Identifier
1235606807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 272985
- Practice address
- 500 N US Highway 89
Prescott, AZ 86313-5001 - Phone
- (928) 445-4860
- NPI assigned
- Oct 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 272985 | AZ | Primary |
| Family Nurse Practitioner | 363LF0000X | NP95010176 | CA |
Addresses
Primary practice location
500 N US Highway 89
Prescott, AZ 86313-5001
Mailing address
500 N Highway 89
BLDG. 158 RM. 105
Prescott, AZ 86313
Phone (928) 445-4860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | etiennette.sneed@va.gov | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 272985 | AZ | MD | Nurse Practitioner |
| NP95010176 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1235606807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N HIGHWAY 89",
"address_2": "BLDG. 158 RM. 105",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-445-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N US HIGHWAY 89",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863135001",
"telephone_number": "928-445-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNEED",
"first_name": "ETIENNETTE",
"middle_name": "GENEVIEVE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-31",
"last_updated": "2022-10-25",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "272985",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95010176",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "etiennette.sneed@va.gov",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "500 N US Highway 89",
"city": "Prescott",
"state": "AZ",
"country_code": "US",
"postal_code": "863135001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Prescott, AZ
- Tracy Todd Smith, M.D.
- Wendalyn Smith, MD
- Smiths Food & Drug Centers Inc (Frys Food and Drug)
- Smiths Food & Drug Centers Inc (Frys Food and Drug)
- Rex H Smyly, PSYD.
- SNH Granite Gate Lands Tenant LLC (Granite Gate Senior Living)
- Debra Ann Snow, ANP
- Richard Boyd Snow, DDS
- Carolyn Lee Snyder, CPHT
- Christopher S Sobel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.