Individual provider Active NPI

Carla Russell Snopek, R.D.

  • Registered Dietitian
  • Flowood, MS
National Provider Identifier
1972822641
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
816364 Issued in MS
Practice address
513 Keywood Cir
Flowood, MS 39232-3019
Phone
(601) 933-1136
Fax
(601) 948-3649
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 816364 MS Primary

Addresses

Primary practice location

513 Keywood Cir
Flowood, MS 39232-3019

Mailing address

3500 Lakeland Dr
Suite 517
Flowood, MS 39232-3017
Phone (601) 932-2140

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

State licenses

LicenseStateTypeSpecialty
816364MSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Shephearst Meadows, LLC Past Accepting new patients

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1972822641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LAKELAND DR",
            "address_2": "SUITE 517",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323017",
            "telephone_number": "601-932-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 KEYWOOD CIR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323019",
            "telephone_number": "601-933-1136",
            "fax_number": "601-948-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOPEK",
        "first_name": "CARLA",
        "middle_name": "RUSSELL",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "816364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.