Individual provider Active NPI

Larry Dewayne Sneed, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1336593292
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
82405 Issued in TN
Practice address
764 Beckridge Rd
McMinnville, TN 37110-7479
Phone
(931) 304-6003
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3011769 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 82405 TN Primary

Addresses

Primary practice location

764 Beckridge Rd
McMinnville, TN 37110-7479

Mailing address

203 Avalon Ave Ste 320
Muscle Shoals, AL 35661-2880
Phone (615) 896-7440

Other practice location 1

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170327001043 TN Practitioner - Nurse Practitioner 9032494489 Reassigns benefits to 2 organizations
I20180606000706 AL Practitioner - Nurse Practitioner 9032494489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

158 Heathrow Dr
Florence, AL 35633-1570
Phone (256) 284-1320

3115 Monrovia Dr
Murfreesboro, TN 37128-5245
Phone (615) 410-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
82405TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Today, Inc CurrentSince Mar 13, 2017 Accepting new patients
Remedy Behavioral Health, LLC Psychiatric/Mental Health Past Accepting new patients
Infinity Resources Inc Psychiatric/Mental Health Past Accepting new patients

Locations

4343 Ashland City Hwy
Nashville, TN 37218
Phone (615) 726-0492

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1336593292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AVALON AVE STE 320",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612880",
            "telephone_number": "615-896-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 BECKRIDGE RD",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371107479",
            "telephone_number": "931-304-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420712432",
            "country_code": "US",
            "telephone_number": "270-762-1100",
            "fax_number": "270-762-1783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNEED",
        "first_name": "LARRY",
        "middle_name": "DEWAYNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3011769",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "82405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.