Individual provider Active NPI

Timothy Edmund Snell, ANP

  • Adult Health Nurse Practitioner
  • Loveland, OH
National Provider Identifier
1760778039
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.12394-NP Issued in OH
Practice address
390 Wards Corner Rd
Loveland, OH 45140-6969
Phone
(513) 943-4000
Fax
(513) 943-4240
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN.296060-COA OH
Adult Health Nurse Practitioner 363LA2200X COA.12394-NP OH Primary

Addresses

Primary practice location

390 Wards Corner Rd
Loveland, OH 45140-6969

Mailing address

390 Wards Corner Rd
Loveland, OH 45140-6969
Phone (513) 943-4000

Other identifiers 1

IdentifierTypeStateIssuer
005052MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110728000605 OH Practitioner - Nurse Practitioner 6901074319 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.296060-COAOHMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carespring NP, LLC CurrentSince Sep 9, 2013 Accepting new patients

Locations

390 Wards Corner Rd
Loveland, OH 45140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1760778039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 WARDS CORNER RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406969",
            "telephone_number": "513-943-4000",
            "fax_number": "513-943-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 WARDS CORNER RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406969",
            "telephone_number": "513-943-4000",
            "fax_number": "513-943-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELL",
        "first_name": "TIMOTHY",
        "middle_name": "EDMUND",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN.296060-COA",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.12394-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005052",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.