SAMANTHA GRACE SNAVELY (NPI# 1932612413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932612413 |
| Entity Type | Individual |
| Full Name | SAMANTHA GRACE SNAVELY |
| Credential | PA |
| Practice Address |
1 Childrens Way # 707 Little Rock AR 72202 |
| Mailing Address |
1 Childrens Way # 707 Little Rock AR 72202-3500 |
| Practice Telephone | 5013642914 |
| Practice Fax Number | 5013641649 |
| Mailing Telephone | 5013642914 |
| Mailing Fax Number | 5013641649 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1146648 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18520 Via Princessa # C2, Canyon Country, CA 913878326 | 6029782500 | 6029382198 |
| 18520 Via Princessa # C2, Canyon Country, CA 913878326 | 6614249000 |
| Street Address |
1 CHILDRENS WAY # 707 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881941417 | Denice Marie Bozeman | Nurse Practitioner | 1 Childrens Way # 707, Little Rock, AR 72202-3500 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1326038035 | Douglas A. Clark | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2005-10-25 |
| 1205826187 | Dallas M Bondhus | Physician Assistant | 9600 Baptist Health Dr Ste 320, Little Rock, AR 72205-6322 | 2005-10-24 |
| 1679173645 | Tristan Jenkins | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-29 |
| 1962019182 | Houston Cotton | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-30 |
| 1033750898 | Susan Brooke Contois | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2019-10-03 |
| 1023575420 | Faith Marquardt | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-22 |
| 1083170807 | Caleb Brett Mason | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2019-02-17 |
| 1043776099 | Lauren Abigail Rainwater | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-14 |
| 1457815755 | Audra Anne Nosal | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2019-01-31 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on SAMANTHA GRACE SNAVELY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.