Active NPI
Carolyn Skelton, MS, RD, LD
- Registered Dietitian
- Lees Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2001010320
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3501266873 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2001010320 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness 4 Prevention, LLC | Dietitian, Registered | Current | Accepting new patients |
| Curis Functional Health | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- Lees Summit, MO
- NPI 1013625649
Dietitian, Registered
-
- Endocrinology, Diabetes & Metabolism Physician
- North Kansas City, MO
- NPI 1114961778
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.