Tracy Todd Skipton, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22560 Issued in NE

Practice address

Naval Hospital Jacksonville 2080 Child Street
Jacksonville, FL 32214-5600

Phone

(904) 546-6351

NPI assigned

Jun 21, 2005

Last updated

Aug 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1053317487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 AUTUMN PINES DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652698",
            "telephone_number": "850-377-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145600",
            "telephone_number": "904-546-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPTON",
        "first_name": "TRACY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "22560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freida Ruth Skinner, OTD., OTR/L
• Raheem M Skinner, PT
• Stephanie Lashae Skinner, LMHC
• Hannah Lynn Skipper, PHARMD
• Stephen Aaron Skipper, DPT
• Scott Roberts Sklenicka, D.M.D., M.D.
• Jennifer Skoglund
• Michael Paul Skolka, MD
• Emily Skovira, RN
• Sky-Rise Behavioral Health

• Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.