Connie J Skinner (NPI# 1669429593, PAC ID# 8022918754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1669429593 |
PAC ID by PECOS | 8022918754 |
Professional Enrollment ID | I20040109000921 |
Full Name | Connie J Skinner |
Address |
7139 State Route 56 E Sebree KY 42455-2136 |
Gender | F |
Credential | NP |
Graduation Year | 2001 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180056 | METHODIST HOSPITAL |
150082 | DEACONESS HOSPITAL INC |
180038 | OWENSBORO HEALTH REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
7139 State Route 56 E, Sebree, KY 42455-2136 |
Street Address |
7139 STATE ROUTE 56 E |
City | SEBREE |
State | KY |
Zip | 42455-2136 |
Name | Specialty | Organization | Address |
---|---|---|---|
Holly Cardwell | Nurse Practitioner | Methodist Health, Inc. | 47 W Webster St, Sebree, KY 42455-2112 |
City | SEBREE |
Zip Code | 42455 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SEBREE + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.