Active NPI
Stephanie Carol Skaggs, AU.D
- Audiologist
- Madison, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2150
- Practice address
- 1994 Gallatin Pike N Ste 200
Madison, TN 37115-2024 - Phone
- (615) 851-9005
- Fax
- (615) 851-9007
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 2150 | TN | |
| Audiologist | 231H00000X | 2150 | TN | Primary |
Addresses
Primary practice location
1994 Gallatin Pike N Ste 200
Madison, TN 37115-2024
Mailing address
1994 Gallatin Pike N Ste 200
Madison, TN 37115-2024
Phone (615) 851-9005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 W Walnut Ave
Suite a
Visalia, CA 93277-6233
Phone (559) 409-4720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2150 | TN | MD | Physical Therapy Assistant |
| 10815 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Roos DO a Professional Medical Corporation | Current | Accepting new patients |
Locations
1680 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 401-6058
3553 Camino Mira Costa
Ste D
San Clemente, CA 92672
Phone (949) 200-7737
805 W Acequia Ave
Ste 1B
Visalia, CA 93291
Phone (559) 409-4720
1700 W Walnut Ave
#A
Visalia, CA 93277
Phone (559) 409-4720
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Visalia, CA
- NPI 1366019531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1144904947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1994 GALLATIN PIKE N STE 200",
"city": "MADISON",
"state": "TN",
"postal_code": "371152024",
"telephone_number": "615-851-9005",
"fax_number": "615-851-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1994 GALLATIN PIKE N STE 200",
"city": "MADISON",
"state": "TN",
"postal_code": "371152024",
"telephone_number": "615-851-9005",
"fax_number": "615-851-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAGGS",
"first_name": "STEPHANIE",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TN",
"license": "2150",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "2150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.