MRS. KIMBERLY DOLL SKELLEY (NPI# 1598081374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598081374 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY DOLL SKELLEY |
| Other Name | MISS KIMBERLY RENEE DOLL |
| Credential | PMHNP-BC |
| Practice Address |
Perry Point Va Medical Center Building 80h Perry Point MD 21902 |
| Mailing Address |
Perry Point Vamc Building 80h Perry Point MD 21902 |
| Practice Telephone | 4106422411 |
| Mailing Telephone | 4106422411 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2016-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R134550 | MD | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R134550 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518921006 | Kimberly Skelley | Pediatrics | 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3737 | 2006-04-13 |
| Street Address |
PERRY POINT VA MEDICAL CENTER BUILDING 80H |
| City | PERRY POINT |
| State | MD |
| Zip Code | 21902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023071115 | Betty Jane Kupp | Nurse Practitioner | Perry Point Va Medical Center, Ave. D., Perry Point, MD 21902 | 2006-04-10 |
| 1821578170 | Adam Nusgart | Optometrist | Perry Point Va Medical Center, Optometry Clinic (11ci), Perry Point, MD 21902 | 2018-08-16 |
| 1053789453 | Anita Yuan-yi Henderson | Pharmacist | Perry Point Va Medical Center, 119, Perry Point, MD 21092 | 2015-09-02 |
| 1285059931 | Ashley Greer | Psychologist | Perry Point Va Medical Center, Bldg. 80 H, Perry Point, MD 21902 | 2014-03-04 |
| 1588997209 | Lisa Falconero Sterk | Psychologist | Perry Point Va Medical Center, Ward 364a, Perry Point, MD 21902 | 2009-09-14 |
| 1073653044 | Miguel Eduardo Roberts | Psychologist | Perry Point Va Medical Center, Building 364, Rm C108, Perry Point, MD 21902 | 2007-02-07 |
| 1558451195 | Lois Hoffman Slack | Occupational Therapist | Perry Point Va Medical Center, Perry Point, MD 21902 | 2006-10-13 |
| 1285728832 | Karen Ann Kinkel | Internal Medicine | Perry Point Va Medical Center, Building 1h Room 206, Perry Point, MD 21902 | 2006-10-03 |
| 1740371673 | Debra Yardley | Pharmacist | Perry Point Va Medical Center, Pharmacy Service (119), Perry Point, MD 21902 | 2006-09-27 |
| 1013012376 | Sonia Estruch | Physical Medicine & Rehabilitation | Perry Point Va Medical Center, Perry Point, Perry Point, MD 21902 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373159 | Daniel Vigus | Recreation Therapist | 59 Ave D, Perry Point, MD 21902 | 2020-10-15 |
| 1407471758 | Amanda Dawn Morris | Optometrist | Perry Point Va Medical Center - Va Maryland Health Care, Perry Point, MD 21902 | 2020-06-12 |
| 1639672835 | Sarah Nicole Cassatt | Dietitian, Registered | Perry Point Va Medical Center Avenue D & 8th St, Perry Point, MD 21902 | 2018-03-14 |
| 1669981809 | Kristyn Sanders | Social Worker | Avenue D & 8th St., Perry Point, MD 21902 | 2017-09-20 |
| 1093250342 | Maria Elana Bergeron | Nurse Practitioner | Bldg 25 Perry Point Va Medical Center, Perry Point, MD 21902 | 2016-12-22 |
| 1124572037 | Jonathan Raymond | Physical Therapist | Avenue D & 8th St, Perry Point, MD 21902 | 2016-08-09 |
| 1528435732 | Stanley Prochaska Jr. | Nurse Practitioner | 1 Avenue D, Perryville, MD 21902 | 2015-08-24 |
| 1346665437 | Doreen Carole Rupp | Social Worker | Avenue D, Building 19h, 244, Perry Point, MD 21902 | 2014-02-26 |
| 1457604944 | Justin Colin Everson | Internal Medicine | Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 | 2012-10-21 |
| 1104198779 | Ashley Abell Carroll | Social Worker | 2h Circle Drive, Perry Point Veterans Affairs Medical Center, Perry Point, MD 21902 | 2012-01-30 |
| Find all providers in zip 21902 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | PERRY POINT |
| Zip Code | 21902 |
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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.