Skinner Wellness Center PLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SKINNER WELLNESS CENTER PLC

Practice address

3198 Custer Dr # 100
Lexington, KY 40517-4000

Phone

(859) 231-6996

Fax

(859) 255-4104

NPI assigned

Mar 26, 2018

Last updated

Apr 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Skinner, DCNPI 1679652622

Title

Comember

Phone

(859) 396-3038

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Anthony Skinner, D.C.

  • Chiropractor
  • Lexington, KY
  • NPI 1679652622
  Medicare reassignment NPD Authorized official
• Rae Eaves, APRN

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1497179477

  Family

  Medicare reassignment NPD
• Stephanie Ann Skinner, APRN

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1225668874
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1144725979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 CUSTER DR # 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174000",
            "telephone_number": "859-231-6996",
            "fax_number": "859-255-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3198 CUSTER DR # 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174000",
            "telephone_number": "859-231-6996",
            "fax_number": "859-255-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER WELLNESS CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "COMEMBER",
        "authorized_official_telephone_number": "859-396-3038",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Sketch, APRN
• Alexander Nicolas Skidmore, MD
• Janis Lynn Skilling, LCSW
• Skinmd
• Skinner Chiropractic
• Brett Anthony Skinner, D.C.
• Dayeishia Skinner
• Olga Maria Skinner, APRN
• Roger Matthew Skinner
• Sean Skinner, MD

• General Practice Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.