Margie Jo Skidmore, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP08650 Issued in OH

Practice address

9900 Bren Rd E
Mail Route MN 008-B213
Minnetonka, MN 55343-9664

Phone

(614) 795-4223

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1043318884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 COUNTY ROAD 255",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359676932",
            "telephone_number": "614-795-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "614-795-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "MARGIE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP08650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3028100",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "margie.skidmore@optum.com",
            "affiliation": "N",
            "endpointDescription": "none",
            "address_1": "9900 Bren Rd E",
            "address_2": "Mail Route MN 008-B213",
            "city": "Minnetonka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553439664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alysha Singh, RBT
• Decca Singletary, FNP
• Emily Marian Singleton
• Janae Skare
• Anne Meland Skemp, MD
• Kirsten Skundberg, OTR
• Assunta Slane, APRN, FNP-BC
• Janna Lynn Sletten, RPH
• Marah Slieter
• Vanessa Josephine Slivken, M.A., LMFT

• Family Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.