Active NPI
Cindy Skakun, OT
- Contractor
- Rainier, WA
National Provider Identifier
1013252147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- OT60232332
- Practice address
- 12043 Windtree LN SE
Rainier, WA 98576-9315 - Phone
- (360) 742-7476
- NPI assigned
- Nov 29, 2012
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | OT60232332 | WA | Primary |
Addresses
Primary practice location
12043 Windtree LN SE
Rainier, WA 98576-9315
Mailing address
12043 Windtree LN SE
Rainier, WA 98576-9315
Phone (360) 742-7476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT60232332 | WA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1013252147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12043 WINDTREE LN SE",
"city": "RAINIER",
"state": "WA",
"postal_code": "985769315",
"telephone_number": "360-742-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12043 WINDTREE LN SE",
"city": "RAINIER",
"state": "WA",
"postal_code": "985769315",
"telephone_number": "360-742-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAKUN",
"first_name": "CINDY",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-29",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "OT60232332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rainier, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.