KELLY SKILES (NPI# 1396224549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396224549 |
| Entity Type | Individual |
| Full Name | KELLY SKILES |
| Credential | PA |
| Practice Address |
1600 W 38th St Austin TX 78731-6400 |
| Mailing Address |
855 Foxfield Rd Oregon WI 53575-3255 |
| Practice Telephone | 5123247131 |
| Mailing Telephone | 6087722989 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA12174 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 W 38TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087331 | Kristen Katherine Ude | Chiropractor | 1600 W 38th St, Suite 412, Austin, TX 78731-6400 | 2005-07-15 |
| 1700344264 | Jane Comer Crockard | Physician Assistant | 1600 W 38th St, Austin, TX 78731-6400 | 2019-03-04 |
| 1114408242 | Excelsior Pain Management Pllc | Anesthesiology | 1600 W 38th St, Austin, TX 78731 | 2018-08-27 |
| 1316487911 | Andrew Collentro | Physical Therapist | 1600 W 38th St, Ste 201, Austin, TX 78731-6400 | 2017-03-01 |
| 1225576093 | Kathy Chung Marquez | Physician Assistant | 1600 W 38th St, Suite 200, Austin, TX 78731-6400 | 2017-02-01 |
| 1962948158 | Thomajan Foot Care Pa | Podiatrist | 1600 W 38th St, Suite 318, Austin, TX 78731-6400 | 2017-01-11 |
| 1124563754 | Austin Psychiatric Clinic, Pa | Psychiatry & Neurology | 1600 W 38th St, Suite 421, Austin, TX 78731-6400 | 2017-01-06 |
| 1942757240 | U S Anesthesia Partners of Texas | Anesthesiology | 1600 W 38th St, Suite 306, Austin, TX 78731-6400 | 2016-09-02 |
| 1356707608 | Amber Bullis | Massage Therapist | 1600 W 38th St, Suite 120, Austin, TX 78731-6400 | 2015-12-31 |
| 1043698012 | Andrea Turnipseed | Social Worker | 1600 W 38th St, Suite 404, Austin, TX 78731-6400 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1366050353 | Katherine Elizabeth Mankus | Physician Assistant | 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 | 2020-07-16 |
| 1629695044 | Brittany Ho | Physician Assistant | 12601 Scofield Farms Dr, Austin, TX 78727-4542 | 2020-07-01 |
| 1679197925 | Malia Scott | Physician Assistant | 2217 Park Bend Dr, Austin, TX 78758-5365 | 2020-06-02 |
| 1659992451 | Christopher Kent Brown | Physician Assistant | 2200 W 35th St Bldg 8, Austin, TX 78703-1222 | 2020-05-03 |
| 1982236550 | Stephen Young | Physician Assistant | 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 | 2020-02-11 |
| 1528608908 | Megan Paige Sutphin | Physician Assistant | 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 | 2020-01-13 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1619528569 | Lauren Michelle Feierstein | Physician Assistant | 4505 Duval St Apt 115, Austin, TX 78751-3225 | 2019-09-23 |
| Find all providers in AUSTIN | ||||
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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.