Active NPI
Tanya Sharee Snead
- Contractor
- Blacklick, OH
National Provider Identifier
1942419312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 57 Heatherbridge LN
Blacklick, OH 43004-9266 - Phone
- (989) 714-3326
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OH | Primary |
Addresses
Primary practice location
57 Heatherbridge LN
Blacklick, OH 43004-9266
Mailing address
57 Heatherbridge LN
Blacklick, OH 43004-9266
Phone (989) 714-3326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2664933 | Medicaid | OH |
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": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1942419312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 HEATHERBRIDGE LN",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430049266",
"telephone_number": "989-714-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 HEATHERBRIDGE LN",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430049266",
"telephone_number": "989-714-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNEAD",
"first_name": "TANYA",
"middle_name": "SHAREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2664933",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.