ANDREA NICOLE SKIDMORE (NPI# 1174146757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174146757 |
| Entity Type | Individual |
| Full Name | ANDREA NICOLE SKIDMORE |
| Credential | LPN |
| Practice Address |
1060 Stewart St Newark OH 43055-6030 |
| Practice Telephone | 7404051184 |
| Mailing Telephone | 7404051184 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN.154288.MEDS- | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE | 09161988 | 01 |
| OH | 09161988 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245523323 | Andrea Skidmore | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2011-05-23 |
| Street Address |
1060 STEWART ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285246348 | Emma Ladelfa | Licensed Practical Nurse | 109 Williams St, Newark, NY 14513-1740 | 2020-08-20 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1619514601 | Marian Nwalor | Licensed Practical Nurse | 116 Dickerson St, Newark, NJ 07107-4359 | 2019-12-09 |
| 1477013365 | Michael Fitzgerald West Jr. | Licensed Practical Nurse | 1052 Woodhill, Newark, NY 14513-2046 | 2019-03-25 |
| 1609332592 | Chrystal Renee Greene | Licensed Practical Nurse | 1035 Woodhill, Newark, NY 14513-2047 | 2019-02-15 |
| 1881159275 | Marie A Randall | Licensed Practical Nurse | 304 Weequahic Ave # 1, Newark, NJ 07112-1437 | 2019-02-10 |
| 1992274419 | Helene Affoue Aka | Licensed Practical Nurse | 87 S 6th St, Newark, NJ 07107-2009 | 2018-11-14 |
| 1497257562 | Nicole Harris | Licensed Practical Nurse | 419 E Miller St, Newark, NY 14513-1563 | 2018-03-06 |
| 1770081754 | Ayeesha Brown | Licensed Practical Nurse | 183 S Orange Ave # E1407, Newark, NJ 07103-2757 | 2018-01-25 |
| Find all providers in NEWARK | ||||
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| 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.