Skinner Wellness Center PLC

Key facts

NPI

1144725979

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Physician 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

Organization subpart

No

Authorized official

Name

Brett Skinner, DC NPI 1679652622

Title

Comember

Phone

(859) 396-3038

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

• Brett Anthony Skinner, D.C. Chiropractor · Lexington, KY · NPI 1679652622
  Medicare reassignment NPD Authorized official CHIROPRACTOR · KY
• Rae Eaves, APRN Nurse Practitioner · Lexington, KY · NPI 1497179477
  Medicare reassignment NPD FAMILY · KY
• Stephanie Ann Skinner, APRN Family Nurse Practitioner · Lexington, KY · NPI 1225668874
  NPD (past) FAMILY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2020.

{
    "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": []
}

Other providers in Lexington, KY

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

All providers in Lexington, KY · General Practice Physician in Kentucky