Organization Active NPI

John L Snell DO, PLLC

  • Internal Medicine Physician
  • Prospect, KY
National Provider Identifier
1477403301
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOHN L SNELL DO, PLLC
Practice address
10614 Meeting St Unit 101
Prospect, KY 40059-5524
Phone
(502) 803-2984
Fax
(502) 829-8321
NPI assigned
Jan 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
John SnellNPI 1275528739
Title
Owner
Phone
(502) 803-2984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10614 Meeting St Unit 101
Prospect, KY 40059-5524

Mailing address

10614 Meeting St Unit 101
Prospect, KY 40059-5524
Phone (502) 803-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521003860 KY Part B Supplier - Clinic/Group Practice 5193295939 Receives reassigned benefits from 2 practitioners
Practice locations: Prospect, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2341245John L Snell DO, PLLC10614 Meeting Street, Unit 101, Prospect, KY 40059Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Locations

10614 Meeting St
Unit 101
Prospect, KY 40059
Phone (502) 803-2984

Practitioners & affiliated clinicians

Practitioners 2

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": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1477403301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 MEETING ST UNIT 101",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400595524",
            "telephone_number": "502-803-2984",
            "fax_number": "502-829-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 MEETING ST UNIT 101",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400595524",
            "telephone_number": "502-803-2984",
            "fax_number": "502-829-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L SNELL DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "SNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-803-2984"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.