Active NPI
Tiffany Nicole Carter Skillings, LM, CPM, IBCLC
- Lactation Consultant (Non-RN)
- Yarmouth, ME
National Provider Identifier
1063856045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-136153
- Practice address
- 40 Forest Falls Dr
Yarmouth, ME 04096-7005 - Phone
- (207) 517-0386
- Fax
- (207) 560-9405
- NPI assigned
- Apr 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | CPM650 | ME | |
| Lactation Consultant (Non-RN) | 174N00000X | L-136153 | ME | Primary |
Addresses
Primary practice location
40 Forest Falls Dr
Yarmouth, ME 04096-7005
Mailing address
40 Forest Falls Dr
Yarmouth, ME 04096-7005
Phone (207) 517-0386
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPM650 | Other | ME | STATE OF MAINE |
| L136153 | Other | IBCLC ID | |
| 14030014 | Other | ME | NARM ID |
| 205089 | Other | ME | ALPP ID |
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 |
|---|---|---|---|
| L-136153 | ME | MD | Lactation Consultant (Non-RN) |
| CPM650 | ME | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tree of Life Naturopathic & Midwifery Care, LLC | Lactation Consultant, Non-RN | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15665/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Naturopath
- Yarmouth, ME
- NPI 1255881520
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1063856045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FOREST FALLS DR",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040967005",
"telephone_number": "207-517-0386",
"fax_number": "207-560-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FOREST FALLS DR",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040967005",
"telephone_number": "207-517-0386",
"fax_number": "207-560-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER SKILLINGS",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LM, CPM, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Midwife",
"state": "ME",
"license": "CPM650",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "ME",
"license": "L-136153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MAINE",
"identifier": "CPM650",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBCLC ID",
"identifier": "L136153",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NARM ID",
"identifier": "14030014",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALPP ID",
"identifier": "205089",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.