Skillsource, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5394 Issued in FL

Legal business name

SKILLSOURCE, INC.

Practice address

220 Eglin Pkwy SE
Suite 1a
Fort Walton Beach, FL 32548-5899

Phone

(850) 863-9973

Fax

(850) 863-9974

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Barbara L Carter

Title

President

Phone

(850) 863-9973

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1083834535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EGLIN PKWY SE",
            "address_2": "SUITE 1A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485899",
            "telephone_number": "850-863-9973",
            "fax_number": "850-863-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EGLIN PKWY SE",
            "address_2": "SUITE 1A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485899",
            "telephone_number": "850-863-9973",
            "fax_number": "850-863-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLSOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-863-9973"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poorita Mitra Singh, FNP-C
• Katrina Alfreda Intrepido Single, APRN
• John David Sites, M.D.
• Siwicki & Ricciardi,P.L.
• Robert David Siwicki, D.P.M.
• Timothy David Skinner, AU.D.
• Sarah Skipper
• Teresa Marie Skojac, MD
• Katherine Nicole Skraba, PA
• Taylor Slater, RBT

• Speech-Language Pathologist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.