Individual provider Active NPI

Holly Jean Skinner, DO

  • Neurology Physician
  • Orlando, FL
National Provider Identifier
1134203300
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS10994 Issued in FL
Practice address
615 E Princeton St
Suite 540
Orlando, FL 32803-1424
Phone
(407) 303-8127
Fax
(407) 303-8197
NPI assigned
Oct 24, 2006
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X LL921 SC
Neurology Physician 2084N0400X OS10994 FL Primary

Addresses

Primary practice location

615 E Princeton St
Suite 540
Orlando, FL 32803-1424

Mailing address

615 E Princeton St
Suite 540
Orlando, FL 32803-1424
Phone (407) 303-8127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000313 FL Practitioner - Neurology 3173649092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210

2501 N Orange Ave
Orlando, FL 32804-4641

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

400 Celebration PL
Celebration, FL 34747-4970

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

615 E Princeton St
Suite 540
Orlando, FL 32803-1424
Phone (407) 303-9980

631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214

661 E Altamonte Dr
Altamonte Springs, FL 32701-5102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
LL921SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Oct 1, 2012 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 1, 2012 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC CurrentSince Nov 24, 2021 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC CurrentSince Nov 24, 2021 Accepting new patients

Locations

2488 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744
Phone (407) 200-5440

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

615 E Princeton St
Ste 540
Orlando, FL 32803
Phone (407) 303-8127

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hskinner73436@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1134203300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST",
            "address_2": "SUITE 540",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031424",
            "telephone_number": "407-303-8127",
            "fax_number": "407-303-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST",
            "address_2": "SUITE 540",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031424",
            "telephone_number": "407-303-8127",
            "fax_number": "407-303-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "HOLLY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "LL921",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS10994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.