Fauntily Skaggs, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

239740 Issued in AZ

Practice address

19550 W Indian School Rd Ste 102
Buckeye, AZ 85396-2078

Phone

(480) 677-8282

NPI assigned

Feb 24, 2020

Last updated

Mar 28, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

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.

• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1144764432
  Medicare reassignment Care Compare group NPD
• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1023828431
  NPD
• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1679857825
  NPD
• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • San Tan Valley, AZ
  • NPI 1063573079
  NPD (past)
• Scottsdale Pediatrics and Pediatric Nephrology, PLLC

  dba Agave Pediatrics

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1629076518
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1114551603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262616",
            "telephone_number": "623-214-2200",
            "fax_number": "623-214-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 W INDIAN SCHOOL RD STE 102",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962078",
            "telephone_number": "480-677-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "FAUNTILY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "239740",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "239740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sherer
• Austin Tatsumi Shinkoda, M.D.
• Ross Shumway, RDN
• Elizabeth Amber Sim, RN
• Randy Lee Sinley, RPH
• Carolyn Skwier, LPN
• Tatiana Sluus
• Smi Imaging LLC (Simonmed Imaging)
• Austin L Smith, MD
• David Alan Smith, RN

• Family Nurse Practitioner in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.