PENNY SKIDMORE (NPI# 1326420704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326420704 |
| Entity Type | Individual |
| Full Name | PENNY SKIDMORE |
| Credential | RN,BSN,CDE |
| Practice Address |
1 Harbour Way Milton WV 25541-1545 |
| Mailing Address |
2585 3rd Ave Huntington WV 25703-1642 |
| Practice Telephone | 3047431407 |
| Practice Fax Number | 3047434516 |
| Mailing Telephone | 3046971396 |
| Mailing Fax Number | 3046972086 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 48790 | WV | Nursing Service Providers |
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
48790 | WV | Nursing Service Providers |
| Street Address |
1 HARBOUR WAY |
| City | MILTON |
| State | WV |
| Zip Code | 25541-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972557932 | Christopher O. Branam | Family Medicine | 1 Harbour Way, Milton, WV 25541-1545 | 2006-05-22 |
| 1659721496 | Jessica D. Lewis | Nurse Practitioner | 1 Harbour Way, Milton, WV 25541 | 2016-06-13 |
| 1316370992 | Zachary David Moore | Nurse Practitioner | 1 Harbour Way, Milton, WV 25541-1545 | 2013-08-18 |
| 1184963944 | Valley Health Systems, Inc | Family Medicine | 1 Harbour Way, Milton, WV 25541-1545 | 2013-02-13 |
| 1184648297 | David Russell Ayers | Family Medicine | 1 Harbour Way, Milton, WV 25541-1545 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570601 | Mark Halcombe | Massage Therapist | 1208 Trenol Rd., Milton, WV 25541 | 2019-10-18 |
| 1285285528 | Amy Conrad | Technician | 1233 Glenwood St, Milton, WV 25541 | 2019-09-27 |
| 1841849981 | Penny Blake | Technician | 248 Woodmire Drive, Milton, WV 25541 | 2019-09-11 |
| 1013407691 | Brandi Raelynn Krismer | Massage Therapist | Suite 5 Perry Morris Square, Milton, WV 25541 | 2018-05-18 |
| 1548457922 | Bogren Chiropractic Health Center | Chiropractor | 332 East Main Street, Milton, WV 25541 | 2007-09-28 |
| 1255424248 | Donald G Klinestiver | Family Medicine | 1028 Mason St, Milton, WV 25541 | 2006-10-02 |
| 1093730624 | Linda Ann Eakle | Family Medicine | 1509 W Main Street, Milton, WV 25541 | 2006-07-13 |
| 1841288438 | Connie Sue Boggess | Occupational Therapist | 2216 Newmans Branch Road, Rural Route 3 Box 397, Milton, WV 25541 | 2005-10-09 |
| 1770999120 | Kristy M Ferguson | Specialist | 1109 Main St, Milton, WV 25541 | 2014-07-07 |
| 1588079677 | Legacy Therapy Services LLC | Occupational Therapist | 2216 Newmans Branch Road, Rural Route 3 Box 397, Milton, WV 25541 | 2014-06-26 |
| Find all providers in zip 25541 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669846218 | Melissa Justice | Registered Nurse | 182 E 2nd Ave, Williamson, WV 25661-3602 | 2015-11-19 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| 1780729889 | Patricia F Droppleman | Registered Nurse | 167 South Mineral Street, Keyser, WV 26726-2643 | 2007-02-20 |
| 1689753501 | Diabetes Concepts By Javins, Inc | Registered Nurse | 300 Association Dr, Suite 320, North Gate Business Park, Charleston, WV 25311-1269 | 2006-11-02 |
| 1205457397 | Sarah A Ward | Registered Nurse | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2020-04-30 |
| 1831742907 | Valerie L Starcher | Registered Nurse | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2019-07-18 |
| 1437657814 | Tebony Shaffer | Registered Nurse | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-01-31 |
| 1104324599 | Justine Haney | Registered Nurse | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-01-31 |
| 1952809345 | Emily Smaniotto | Registered Nurse | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-01-31 |
| 1003351958 | Alicia Winfield | Registered Nurse | 2000 Foundation Way, Suite 3800, Martinsburg, WV 25401-9003 | 2017-01-02 |
| Find all providers with the same taxonomy | ||||
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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.