Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sally Van Snepson, PA

Individual provider Acupuncturist · NPI 1467428912

Sally Van Snepson, PA is a Physician Assistant in Phoenix, Arizona. Qualified in 2003, 23 years ago. Practices with Carelock LLC, a 14-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Maine.

Years since qualifying
23
Licensed in
AZ, ME
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1847 W Heatherbrae Dr
Phoenix, AZ 85015-4764
Phone: (602) 274-2100
Fax: (602) 535-3166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 Bramhall St, Portland, ME 04102-3134 — (207) 662-2414

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5181 (AZ)
Acupuncturist Taxonomy 171100000X · Licence AC 287 (ME)
Physician Assistant Taxonomy 363A00000X · Licence PA-817 (ME)

Record details

NPI number1467428912
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Carelock Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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