MARY T SKINNER


Address: 215 Central Ave Ste 100, Suite 100, Louisville, KY 40208-1450
Phone: 5025888720

MARY T SKINNER (NPI# 1033358072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033358072
Entity Type Individual
Full Name MARY T SKINNER
Other Name MARY T GEORGE
Credential ARNP-C
Practice Address 215 Central Ave Ste 100
Suite 100
Louisville
KY 40208-1450
Mailing Address Po Box 909
Louisville
KY 40201-0909
Practice Telephone 5025888720
Practice Fax Number 5025888721
Mailing Telephone 5025880329
Mailing Fax Number 5025990326
Enumeration Date 2009-02-16
Last Update Date 2016-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 3005720 KY Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
5720P KY Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
5720P KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY RAILROAD MEDICARE P00706702 01

Other Providers MARY SKINNER

NPI Name Taxonomy Address Enumeration
1083244040 Mary Therese Skinner Counselor 4112 53rd Ave W Apt 314, Bradenton, FL 34210-3453 2020-01-18
1366942575 Mary Abigail Skinner Physical Therapist 1475 1st Ave Sw, Jacksonville, AL 36265-3337 2018-02-14
1194079566 Mary Katherine Skinner Pharmacist 93 Stonebrook Pl, Jackson, TN 38305-3637 2012-11-06

Office Location

Street Address 215 CENTRAL AVE STE 100
SUITE 100
City LOUISVILLE
State KY
Zip Code 40208-1450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073570958 Peter A Esch Internal Medicine 215 Central Ave Ste 100, Jencare Neighborhood Medical Valley Station, LLC, Louisville, KY 40208-1450 2006-04-26
1154826105 Mitchell Adam Kutner Student in an Organized Health Care Education/Training Program 215 Central Ave Ste 100, Louisville, KY 40208-1450 2018-03-29
1275038184 Amanda Johnson Allen Student in an Organized Health Care Education/Training Program 215 Central Ave Ste 100, Louisville, KY 40208-1450 2018-03-24
1467987768 Lauren Miller Family Medicine 215 Central Ave Ste 100, Louisville, KY 40208-1450 2017-04-24
1003270422 Michael Petry Family Medicine 215 Central Ave Ste 100, Louisville, KY 40208-1450 2016-04-12
1902283609 Ashley Mefford Iles Family Medicine 215 Central Ave Ste 100, Louisville, KY 40208 2015-05-01
1063808137 Sean Warren Family Medicine 215 Central Ave Ste 100, Louisville, KY 40208 2015-04-15
1134547045 Chris Ethridge Student in an Organized Health Care Education/Training Program 215 Central Ave Ste 100, Louisville, KY 40208-1450 2014-03-29
1922211556 Michael Eli Pendleton Family Medicine 215 Central Ave Ste 100, Louisville, KY 40208 2007-05-08
1619003951 Laura Morton Family Medicine 215 Central Ave Ste 100, Louisville, KY 40208-1450 2007-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447784764 Emmanuel Nwaogu Nurse Practitioner 720 West Hill St, Norton Louisville Primary Care, Louisville, KY 40208 2017-04-13
1295277226 Ausi Transort, LLC Non-emergency Medical Transport (VAN) 1907-c S 4th St, Louisville, KY 40208 2016-11-08
1962954198 Daniel Thomas Specialist/Technologist 1514 Central Avenue, Louisville, KY 40208 2016-11-04
1720321185 Moiz Ahmad Khan Student in an Organized Health Care Education/Training Program 619 Montana Ave, Louisville, KY 40208 2013-04-03
1831140771 Rebecca P Pirkle Nurse Practitioner 215 Central Station, 102, Louisville, KY 40208 2006-05-15
1689231375 Jennifer Hofelich Social Worker 720 W Hill St, Louisville, KY 40208 2019-05-29
1962892125 Catherine Leigh Stone Social Worker 720 W Hill St, Louisville, KY 40208 2015-01-27
1659636199 Robbie Brewer Blair Social Worker 720 W Hill St, Louisville, KY 40208 2012-07-11
1700923513 Robin Goodman Social Worker 720 W Hill St, Louisville, KY 40208 2007-01-31
1225060361 Cindy L Lewis Nurse Practitioner 215 Central Ave, 102, Louisville, KY 40208 2006-07-07
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750914040 The Ortho Np, LLC Nurse Practitioner 1904 Meadowgate Ln, Louisville, KY 40223-1122 2020-02-15
1164990396 Tiffany Elizabeth Gallucci Nurse Practitioner 4915 Norton Healthcare Boulevard, Louisville, KS 40241 2018-11-06
1699282988 Victoria Michelle Jones Nurse Practitioner 7004 Austinwood Rd, Louisville, KY 40214-5930 2018-01-08
1295100345 Ashley Elizabeth Summers Nurse Practitioner 701 Executive Park, Louisville, KY 40207 2015-12-01
1740608082 Margaret Hamilton Nurse Practitioner 4938 Brownsboro Rd Ste 206, Louisville, KY 40222-6385 2014-04-03
1033535828 Genesis Eldercare Physician Services LLC Nurse Practitioner 16605 Chestnut Glen Pl, Louisville, KY 40245 2014-03-17
1356778237 Rachel Keith-weiss Nurse Practitioner 580 S Preston St, Baxter II Rm 204d, Louisville, KY 40202-1756 2013-10-09
1598010852 Hollis Veronica Edwards Nurse Practitioner 550 S Jackson St Fl 1, Louisville, KY 40202 2012-07-23
1578865267 Sarah Kressy Nurse Practitioner 90 Health Park Dr Ste 320, Louisville, CO 80027-9742 2010-12-01
1780909259 Deborah Diane Knight-williams Nurse Practitioner 405 Cambridge Station Rd, Wmlnc, Louisville, KY 40223-3362 2010-03-28
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40208

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Dataset Information

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.

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