Active NPI
Lee Taylor Skelton, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Indianola, MS
National Provider Identifier
1033595509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R877686
- Practice address
- 121 E Baker St
Indianola, MS 38751-2450 - Phone
- (662) 887-6000
- NPI assigned
- Aug 6, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R877686 | MS | Primary |
Addresses
Primary practice location
121 E Baker St
Indianola, MS 38751-2450
Mailing address
706 W Gresham St
Indianola, MS 38751-2046
Phone (662) 931-2256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 E Baker St
Indianola, MS 38751-2450
Phone (662) 635-7210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R877686 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients |
Locations
121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113
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.
-
- General Acute Care Hospital
- Indianola, MS
- NPI 1184679292
-
- Anesthesiology Physician
- Indianola, MS
- NPI 1407064454
-
- Advanced Practice Midwife
- Indianola, MS
- NPI 1962395863
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianola, MS
- NPI 1184679292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1033595509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 W GRESHAM ST",
"city": "INDIANOLA",
"state": "MS",
"postal_code": "387512046",
"telephone_number": "662-931-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E BAKER ST",
"city": "INDIANOLA",
"state": "MS",
"postal_code": "387512450",
"telephone_number": "662-887-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELTON",
"first_name": "LEE",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "DNP, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-06",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R877686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianola, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.