ROBERT SKINNER (NPI# 1104283001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104283001 |
| Entity Type | Individual |
| Full Name | ROBERT SKINNER |
| Practice Address |
2525 Youree Dr Ste 110 Shreveport LA 71104 |
| Mailing Address |
2525 Youree Dr Ste 110 Shreveport LA 71104-3600 |
| Practice Telephone | 3187423408 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LA | Behavioral Health & Social Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093137085 | Robert Skinner | Veterinarian | 19880 Waterford Ct, Excelsior, MN 55331-7029 | 2014-01-10 |
| 1396856555 | Robert Alfred Skinner | Internal Medicine | 1323 Hazel St, Texarkana, TX 75501-4434 | 2006-08-31 |
| 1558363689 | Robert L Skinner | Family Medicine | 3451 Goodman Rd, Ste 115, Southaven, MS 38672-9304 | 2005-06-01 |
| 1992312334 | Robert Michael Skinner | 1 Olympic Plz, Colorado Springs, CO 80909-5780 | 2020-09-29 | |
| 1902329121 | Robert Barnett Skinner | Student in an Organized Health Care Education/Training Program | 86 W Underwood St Ste 201, Orlando, FL 32806-1110 | 2017-07-19 |
| 1558608646 | Robert Brooks Skinner | Pharmacist | 1300 Dana Dr, Redding, CA 96003-4071 | 2013-01-09 |
| 1245305721 | Robert Lee Skinner | Dentist | 2414 S 58th St, Fort Smith, AR 72903-3827 | 2006-11-21 |
| 1366545394 | Robert E Skinner | Urology | 9427 Sw Barnes Rd, Portland, OR 97225-7225 | 2006-09-06 |
| 1093772048 | Robert B Skinner | Dermatology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-26 |
| Street Address |
2525 YOUREE DR STE 110 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376826800 | Lakimberly Gill | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2011-09-21 |
| 1326525056 | Odion Agbi | Case Manager/Care Coordinator | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2018-07-25 |
| 1972090165 | Beverly Sequita Howze | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2018-04-13 |
| 1972004547 | Cornelius Belt | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2018-02-28 |
| 1932616489 | Tanya D King | Social Worker | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2018-01-05 |
| 1770096166 | Alicia Williams | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2017-11-08 |
| 1841703261 | Raven Danyale Ponds | Social Worker | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2017-11-07 |
| 1437669090 | Joseph Mccain Dinkins | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2017-10-09 |
| 1437677895 | Courtney Leah Bouligny | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104 | 2017-09-06 |
| 1841716313 | Christina Renee' Jackson | Case Manager/Care Coordinator | 2525 Youree Dr Ste 110, Shreveport, LA 71104 | 2017-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814389 | Courtney Rayburn | Counselor | 9413 Prestonwood Dr, Shreveport, LA 71115-3733 | 2020-09-02 |
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1518505601 | Samantha Klingenberg | Counselor | 910 Pierremont Rd Ste 300, Shreveport, LA 71106-2056 | 2019-12-19 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1396255980 | Christa Walker-williams | Counselor | 525 Crockett St, Shreveport, LA 71101-3601 | 2017-10-09 |
| 1174047856 | Gregory H Gentry | Counselor | 363 Sandefur Dr, Shreveport, LA 71105-3245 | 2017-08-03 |
| 1538615067 | Jesse Fallis | Counselor | New Day Recovery/ Shreveport, 6240 Greenwood Rd, Shreveport, LA 71119 | 2016-08-25 |
| 1760762470 | Jacqueline A. Danzell, Lcsw, LLC | Counselor | 910 Pierremont Rd Ste 410, Shreveport, LA 71106-2056 | 2011-08-25 |
| 1811291099 | Barbara Marie Allen | Counselor | 5100 Pine Hill Rd, Shreveport, LA 71107-2604 | 2011-01-03 |
| 1063609782 | Ross Githens | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2007-09-26 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on ROBERT SKINNER.
| 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.