Individual provider Active NPI

Carolyn Skelton, MS, RD, LD

  • Registered Dietitian
  • Lees Summit, MO
National Provider Identifier
1003130089
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2001010320 Issued in MO
Practice address
1800 NW Shamrock CT
Lees Summit, MO 64081-1600
Phone
(816) 914-6288
Fax
(877) 731-3326
NPI assigned
Mar 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2001010320 MO Primary

Addresses

Primary practice location

1800 NW Shamrock CT
Lees Summit, MO 64081-1600

Mailing address

1800 NW Shamrock CT
Lees Summit, MO 64081-1600
Phone (816) 425-3220

Other identifiers 1

IdentifierTypeStateIssuer
3501266873MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128001091 MO Practitioner - Registered Dietitian Or Nutrition Professional 0244419794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 NW Shamrock CT
Lees Summit, MO 64081-1600
Phone (816) 914-6288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2001010320MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness 4 Prevention, LLC Dietitian, Registered CurrentSince Apr 1, 2023 Accepting new patients
Curis Functional Health Dietitian, Registered CurrentSince Mar 1, 2026 Accepting new patients
Hellman & Rosen Endocrine Associates, PC Past Accepting new patients

Locations

1250 W Amity St
Louisburg, KS 66053
Phone (913) 696-9980

3650 W 40 Hwy
Blue Springs, MO 64015
Phone (816) 229-8777

18931 E Valley View Pkwy
Ste C
Independence, MO 64055
Phone (816) 350-0020

400 SW Longview Blvd
Ste 160
Lees Summit, MO 64081
Phone (816) 761-3944

4801 Frankford Rd
Ste 300
Dallas, TX 75287
Phone (214) 390-3259

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1003130089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NW SHAMROCK CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811600",
            "telephone_number": "816-425-3220",
            "fax_number": "866-592-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NW SHAMROCK CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811600",
            "telephone_number": "816-914-6288",
            "fax_number": "877-731-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "CAROLYN",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-20",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2001010320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3501266873",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.