Snavly Fenelon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F1016852 Issued in GA

Practice address

1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507

Phone

(706) 443-5273

Fax

(762) 323-1014

NPI assigned

Dec 2, 2016

Last updated

Apr 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Snavly Fenelon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: snavely.fenelon@zoepediatrics.gadirect.net

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1760925135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413507",
            "telephone_number": "706-443-5273",
            "fax_number": "762-323-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413507",
            "telephone_number": "706-443-5273",
            "fax_number": "762-323-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENELON",
        "first_name": "SNAVLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F1016852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SNAVLY",
            "last_name": "FENELON",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathleen Ruth Fadler, DMD
• David Keith Fagundes, D.M.D.
• Family Psychology Associates
• Fred Matthew Farrar, LPC , NCC
• Arthur James Fegain, MHP
• Meagan Ferguson Daniels, NCC
• Aniqua Ferguson
• Andre D Feria, MD
• Salman Shirazhussein Fidahussein, M.D.
• Justin Fincher, MD

• Family Nurse Practitioner in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.