Individual provider Active NPI

Laurel J Snelling, PA, CSA

  • Surgical Physician Assistant
  • Lexington, KY
National Provider Identifier
1356414494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA313 Issued in KY
Practice address
838 E High St
#288
Lexington, KY 40502-2107
Phone
(859) 396-3647
Fax
(859) 268-8415
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA313 KY Primary

Addresses

Primary practice location

838 E High St
#288
Lexington, KY 40502-2107

Mailing address

113 Desha Rd
Lexington, KY 40502-1801
Phone (859) 268-8415

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA313KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Hand Center PSC Past Accepting new patients
Plastic Surgeons of Lexington, PLLC PastSince Jul 1, 2015 Accepting new patients
Center for Plastic Surgery PSC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356414494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 DESHA RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021801",
            "telephone_number": "859-268-8415",
            "fax_number": "859-268-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E HIGH ST",
            "address_2": "#288",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022107",
            "telephone_number": "859-396-3647",
            "fax_number": "859-268-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLING",
        "first_name": "LAUREL",
        "middle_name": "J",
        "credential": "PA, CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.