Michelle L Skidmore, RDN, CDCES
Individual provider Active NPI Registered Dietitian · La Conner, WA
NPI 1114080934 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1114080934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DI00001414 (WA)
- Practice address
- 17400 Reservation Rd
La Conner, WA 98257-8801 - Phone
- (360) 466-3167
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001414 | WA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI00001414 | WA | Yes |
Addresses
Primary practice location
17400 Reservation Rd
La Conner, WA 98257-8801
Mailing address
PO Box 683
La Conner, WA 98257-0683
Phone (360) 466-3167
Other providers in La Conner, WA
- RSL la Conner, LLC
- Lindsey Ann Rudolph
- Emma Mae Sadzewicz
- Season Silk
- Skagit County Fire District 13
- Soas L.L.C.
- Soas LLC
- Keila Marie Stafford
- Lisa M Starinchak
- Sarah Blair Stensrud
All providers in La Conner, WA · Registered Dietitian in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.