Kelli Snider

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

402 Natchez Ave
Brookhaven, MS 39601-4058

Phone

(601) 754-1029

NPI assigned

Nov 4, 2019

Last updated

Nov 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1407490352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NATCHEZ AVE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396014058",
            "telephone_number": "601-754-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 NATCHEZ AVE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396014058",
            "telephone_number": "601-754-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesleye L Smith, CCC-A
• Manerva Angelica Smith
• Mark P Smith, OD
• Melanie Smith
• Prentiss Lee Smith Sr., MD
• South Mississippi Home Health Inc - Region II (Deaconess HomeCare)
• South Mississippi Home Health, Inc. (Deaconess Hospice)
• South Mississippi Wound Management LLC (South Mississippi Wound Management)
• Southern Bone & Joint Specialists
• Southern Foot Care Inc

• Occupational Therapist in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.