Individual provider Active NPI

Tiffany Nicole Carter Skillings, LM, CPM, IBCLC

  • Lactation Consultant (Non-RN)
  • Yarmouth, ME
National Provider Identifier
1063856045
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-136153 Issued in ME
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

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CPM650OtherMESTATE OF MAINE
L136153OtherIBCLC ID
14030014OtherMENARM ID
205089OtherMEALPP 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

LicenseStateTypeSpecialty
L-136153MEMDLactation Consultant (Non-RN)
CPM650MEMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Naturopathic & Midwifery Care, LLC Lactation Consultant, Non-RN Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.