Organization Active NPI

Lisle Snyder, DPM

  • Prosthetic/Orthotic Supplier
  • Elizabethton, TN
National Provider Identifier
1356510473
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LISLE SNYDER, DPM
Practice address
207 W G St
Elizabethton, TN 37643-3113
Phone
(423) 543-8719
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Lisle Snyder
Title
Owner
Phone
(423) 543-8719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

207 W G St
Elizabethton, TN 37643-3113

Mailing address

PO Box 812
Elizabethton, TN 37644-0812
Phone (423) 543-8719

Other identifiers 3

IdentifierTypeStateIssuer
2006277OtherTNBCBS
2006277OtherTNBLUE CARE
TN0101OtherTNMEDICARE COMPLETE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1356510473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376440812",
            "telephone_number": "423-543-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W G ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433113",
            "telephone_number": "423-543-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISLE SNYDER, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "LISLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-543-8719"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2006277",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "2006277",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "TN0101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.