SAMUEL SKIDMORE (NPI# 1710436811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710436811 |
| Entity Type | Individual |
| Full Name | SAMUEL SKIDMORE |
| Credential | CRNP |
| Practice Address |
5 Mobile Infirmary Cir Mobile AL 36607-3513 |
| Mailing Address |
105 Conway Dr W Mobile AL 36608-1740 |
| Practice Telephone | 2514355153 |
| Mailing Telephone | 2517536369 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-137468 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 MOBILE INFIRMARY CIR |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174014 | Kenneth Carl Brewington | Obstetrics & Gynecology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2005-06-14 |
| 1972118891 | Anthony A Mcpherson | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-09-09 |
| 1700404563 | My An T Pham | Pharmacist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-07-08 |
| 1215559968 | Mobile Infirmary Association | Clinical Medical Laboratory | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-05-15 |
| 1245866714 | Kierriah Callier Dortch | Registered Nurse | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-03-17 |
| 1043843295 | Richard Williams | Nurse Anesthetist, Certified Registered | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-02-17 |
| 1720637572 | Kaitlin Michelle Reed | Speech-Language Pathologist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-09-04 |
| 1710535828 | Charlotte Beverly | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607 | 2019-09-02 |
| 1063064376 | Melanie Ann Mccall | Pharmacist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-07-16 |
| 1962060822 | Lauren Wilson Clarke | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
| Find all providers in zip 36607 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467628693 | Sheila Bouler | Nurse Practitioner | 3930 Airport Blvd, Suite F, Mobile, AL 36608-1692 | 2008-05-07 |
| 1043244189 | Lisa Jan Seay | Nurse Practitioner | 6554 Hounds Run N, Mobile, AL 36608-5407 | 2006-07-11 |
| 1992331573 | Krystal Nicole Smith | Nurse Practitioner | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2020-03-16 |
| 1174156103 | Beverly Joyce Ales | Nurse Practitioner | 3209 Midtown Park S, Mobile, AL 36606-4126 | 2020-02-18 |
| 1942830781 | Shannon Lewis | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2020-01-21 |
| 1851941397 | Kina Cousin Hooks | Nurse Practitioner | 3209 Midtown Park S, Mobile, AL 36606-4126 | 2019-09-17 |
| 1831656701 | Kiwana Trechelle Brooks | Nurse Practitioner | 2400 Gordon Smith Dr, Mobile, AL 36617 | 2019-02-26 |
| 1184125445 | Tammy Hoadley Lee | Nurse Practitioner | 735 S Washington Ave, Mobile, AL 36603-1301 | 2018-02-22 |
| 1205340056 | Chereta Alina Beverly | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-11-30 |
| 1134630205 | Alicia Todd | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-10-17 |
| Find all providers in MOBILE | ||||
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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.