Kristi A Skudrna

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1075 Birch LN
Romeoville, IL 60446-3930

Phone

(630) 947-2713

NPI assigned

Aug 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1164196721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BIRCH LN",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604463930",
            "telephone_number": "630-947-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BIRCH LN",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604463930",
            "telephone_number": "630-947-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10204 Bode St Ste B",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605859813",
            "country_code": "US",
            "telephone_number": "855-241-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKUDRNA",
        "first_name": "KRISTI",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1103X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Data Abstracter/Coder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Simmons
• Sara Simpson, OT
• Laura Sims
• Paramvir Singh, DDS
• Sistas of Sacred Spaces LLC
• Monica L Smiley
• Angela Joy Smith, RN
• Gary Smith
• Jennifer N Smith, ATC
• Keith William Soderlund, PHYSICAL THERAPIST

• Specialist in Romeoville, IL
• Providers in Romeoville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.