Individual provider Active NPI

Melisa Skyrm, MAC LAC

  • Acupuncturist
  • Cherry Hill, NJ
National Provider Identifier
1215215140
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00077800 Issued in NJ
Practice address
2117 Old Marlton Pike
Cherry Hill, NJ 08003-1302
Phone
(856) 424-2260
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00077800 NJ Primary
Acupuncturist 171100000X AK000967 PA

Addresses

Primary practice location

2117 Old Marlton Pike
Cherry Hill, NJ 08003-1302

Mailing address

2117 Old Marlton Pike
Cherry Hill, NJ 08003-1302
Phone (856) 424-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00077800NJMDAcupuncturist
AK000967PAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1215215140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 OLD MARLTON PIKE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031302",
            "telephone_number": "856-424-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 OLD MARLTON PIKE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031302",
            "telephone_number": "856-424-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKYRM",
        "first_name": "MELISA",
        "name_prefix": "Ms.",
        "credential": "MAC LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00077800",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.