Reagan Claire Skidmore, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

323947 Issued in LA

Practice address

800 Galloway Drive
Hammond, LA 70402-3339

Phone

(985) 549-5133

NPI assigned

Feb 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: reagan.skidmore@selu.edu

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.

• Southeastern Louisiana Univerisity

  • Family Medicine Physician
  • Hammond, LA
  • NPI 1780075499
  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1003371527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17017 CULPS BLUFF AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708173339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GALLOWAY DRIVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704023339",
            "telephone_number": "985-549-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "REAGAN",
        "middle_name": "CLAIRE",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "323947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Reagan.skidmore@selu.edu",
            "affiliation": "N",
            "address_1": "800 Galloway Drive",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704023339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Perrin Sims
• Sinclair Foundation
• Olandra Singleton
• Tawnya Sisco, MAS
• Six6Seasons Transportation LLC
• Sleep Labs of Hammond LLC
• Michelle Sliva, MD, MS, ATC
• Chelsei Slocum, MSW, LCSW
• Peggy L Slone, SLP
• Betty Richelle Smart, N.P.

• Athletic Trainer in Hammond, LA
• Providers in Hammond, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.