Individual provider Active NPI

Charlene Kay Snipes, OTR/L

  • Community Health Worker
  • Flagstaff, AZ
National Provider Identifier
1629214721
Registry record updated Dec 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
0369 Issued in AZ
Practice address
3920 E Huntington Dr
Suite a
Flagstaff, AZ 86004-9409
Phone
(602) 369-7328
NPI assigned
Dec 20, 2008
Last updated
Dec 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 0369 AZ Primary

Addresses

Primary practice location

3920 E Huntington Dr
Suite a
Flagstaff, AZ 86004-9409

Mailing address

453 E Kiowa St
Flagstaff, AZ 86001-9547
Phone (602) 369-7328

Other identifiers 1

IdentifierTypeStateIssuer
356396OtherAZPROVIDER AHCCCS ID NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1229731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229731200000",
    "number": "1629214721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 E KIOWA ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860019547",
            "telephone_number": "602-369-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 E HUNTINGTON DR",
            "address_2": "SUITE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860049409",
            "telephone_number": "602-369-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIPES",
        "first_name": "CHARLENE",
        "middle_name": "KAY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-20",
        "last_updated": "2008-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AZ",
            "license": "0369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER AHCCCS ID NUMBER",
            "identifier": "356396",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.