Karen Skidmore DPM PS

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000508 Issued in WA

Legal business name

KAREN SKIDMORE DPM PS

Practice address

20700 Bond Road NE
Poulsbo, WA 98370

Phone

(360) 697-3668

Fax

(360) 697-3610

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Karen Skidmore, DPM PSNPI 1619041456

Title

President

Phone

(360) 697-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

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

• Karen Skidmore, DPM PS

  • Primary Podiatric Medicine Podiatrist
  • Poulsbo, WA
  • NPI 1619041456
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1093993131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 BOND ROAD NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-697-3668",
            "fax_number": "360-697-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 BOND ROAD NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-697-3668",
            "fax_number": "360-697-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN SKIDMORE DPM PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-697-3668",
        "authorized_official_credential": "DPM PS"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7110836",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Anna Nawrot Johnson, LMP
• Matthew K Johnson, MD
• Katherine Jones, LMP
• Michael C Jungkeit, M.D.
• Zachary Michael Kane, D.O.
• Craig Duncan Karr, D.O.
• Kaylee Wonder DMD PLLC
• Brent Michael Kelln, PHD, MPT
• Diane Claire Kelly, LMHC,
• Ashley Marie Kennedy, MSW

• Podiatrist in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.