Jeanette L Skipper-Thomas

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

UP004096G Issued in PA

Practice address

2840 W Dauphin St
Philadelphia, PA 19132-4627

Phone

(215) 685-2431

Fax

(215) 685-2440

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205998267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 CATHARINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 W DAUPHIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191324627",
            "telephone_number": "215-685-2431",
            "fax_number": "215-685-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPPER-THOMAS",
        "first_name": "JEANETTE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "UP004096G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OB-GYN NURSE PRACTITIONER",
            "identifier": "UP004096 G",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skillzrus
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• Skin and Laser Surgery Center of Pen
• Clifford Skinner, CPS
• Ethan Skinner, ATC
• Therese M Skirven, OT
• Jeffrey A Sklar, D.C.
• Peter A Sklar, MD,MPH
• Shari Jill Sklar, D.M.D.
• Elissa Sklaroff, LCSW

• Women's Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Women's Health Nurse Practitioner in Pennsylvania

• 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.