Skylar Jane Vinson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

11102 Lindbergh Business CT
Saint Louis, MO 63123-7810

Phone

(314) 320-9570

Fax

(314) 206-3477

NPI assigned

Nov 10, 2020

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Skylar Jane McCance Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acorn Health of Illinois, LLC

  • Behavior Analyst
  • O'Fallon, IL
  • NPI 1144867854
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1083216683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391101",
            "telephone_number": "314-206-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11102 LINDBERGH BUSINESS CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237810",
            "telephone_number": "314-320-9570",
            "fax_number": "314-206-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "SKYLAR",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKYLAR",
            "last_name": "MCCANCE",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Nicole Vines, MSW LCSW
• Ashley Vineyard, SLP
• Eric Vineyard, CRNA
• Sasi Vinjamoori, APRN-BC, FNP
• Madhav B Vinjamuri, M.D.
• Andrea Marie Vinyard, AUD, CCC-A
• Viola Home Health Care, LLC
• Stephen G Viola, PH.D.
• Megan Violi
• Vip Healthcare Professionals, LLC

• Community Health Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community Health Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.