Organization Active NPI

Skinsations Dermatherapy, LLC

  • Clinic/Center
  • Connersville, IN
National Provider Identifier
1053583690
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
01027519A Issued in IN
Legal business name
SKINSATIONS DERMATHERAPY, LLC
Practice address
746 Northside CT
Connersville, IN 47331-2583
Phone
(765) 377-7039
Fax
(765) 377-7189
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Ms. April Ann Smallwood, LPN
Title
Owner
Phone
(765) 377-7039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 01027519A IN Primary

Addresses

Primary practice location

746 Northside CT
Connersville, IN 47331-2583

Mailing address

746 Northside CT
Connersville, IN 47331-2583
Phone (765) 377-7039

National Provider Directory

National Provider Directory

Locations

2011 Chester Blvd
Richmond, IN 47374
Phone (765) 488-1778

822 E Main St
Richmond, IN 47374
Phone (765) 965-7546

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1053583690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 NORTHSIDE CT",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312583",
            "telephone_number": "765-377-7039",
            "fax_number": "765-377-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 NORTHSIDE CT",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312583",
            "telephone_number": "765-377-7039",
            "fax_number": "765-377-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINSATIONS DERMATHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "SMALLWOOD",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-377-7039",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "01027519A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.