Active NPI
Lisle Snyder, DPM
- Prosthetic/Orthotic Supplier
- Elizabethton, TN
National Provider Identifier
1356510473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006277 | Other | TN | BCBS |
| 2006277 | Other | TN | BLUE CARE |
| TN0101 | Other | TN | MEDICARE COMPLETE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Elizabethton, TN
- NPI 1437180627
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.