Ada Kathleen Skinner, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

29150 Issued in SC

Practice address

1409 Devine St
University of South Carolina
Columbia, SC 29208-0001

Phone

(803) 777-3174

Fax

(803) 777-0126

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ada Kathleen Williams Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184842239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 QUEEN CHAPEL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291538115",
            "telephone_number": "803-469-0978",
            "fax_number": "803-469-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 DEVINE ST",
            "address_2": "UNIVERSITY OF SOUTH CAROLINA",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292080001",
            "telephone_number": "803-777-3174",
            "fax_number": "803-777-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ADA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "29150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADA",
            "last_name": "WILLIAMS",
            "middle_name": "KATHLEEN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stanley O Skarli, MD
• Annette Ibarra Skeen, LPC
• Kira Leonor Skelton Mendoza Gil
• William D. Skelton, D.AC.
• Brittney Skiles, CRNA
• Casey Burner Skinner, PA-C
• Courtney Miracle Nicole Skinner
• Jessica Allen Skinner
• Quinyan Le'Shaun Skinner, FNP-C
• Suzanne Michelle Skinner, MSW, LISW-CP-S

• Student in an Organized Health Care Education/Training Program in Columbia, SC
• Providers in Columbia, SC by specialty
• Student in an Organized Health Care Education/Training Program in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.