Individual provider Active NPI

Staci Sneads, ARNP

  • Family Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1649209461
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 3021832 Issued in FL
Practice address
4439 Jackson St
Marianna, FL 32448-4658
Phone
(850) 526-4830
Fax
(850) 482-2757
NPI assigned
Jul 2, 2006
Last updated
Oct 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 3021832 FL Primary

Addresses

Primary practice location

4439 Jackson St
Marianna, FL 32448-4658

Mailing address

4439 Jackson St
Marianna, FL 32448-4658
Phone (850) 526-4830

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 3021832FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1649209461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 JACKSON ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484658",
            "telephone_number": "850-526-4830",
            "fax_number": "850-482-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 JACKSON ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484658",
            "telephone_number": "850-526-4830",
            "fax_number": "850-482-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEADS",
        "first_name": "STACI",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 3021832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.