Myung Mee Skelton, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN111998 Issued in AZ

Practice address

2025 N 3Rd St
Suite 170
Phoenix, AZ 85004-1471

Phone

(602) 462-1132

Fax

(602) 462-1135

NPI assigned

May 16, 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

Other names 1

• Ms. Mindy Skelton Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1245282847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 E SHEFFIELD AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964115",
            "telephone_number": "480-756-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST",
            "address_2": "SUITE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041471",
            "telephone_number": "602-462-1132",
            "fax_number": "602-462-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "MYUNG",
        "middle_name": "MEE",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN111998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE ID",
            "identifier": "Z122089 & Z122090",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "SKELTON",
            "prefix": "MS.",
            "credential": "ANP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cameron Skaugrud, D.D.S.
• Jeff Skeens, LAMFT, MMFT, MDIV
• Anna E Skelley, LCSW
• Andrea Oliver Skelton, M.D.
• Janice Skelton, N.D.
• Erica B Skepnek, PSY.D.
• Laura Skiba, NP
• Joseph L. Skibba, MD
• Bentley C Skibell, MD
• Brian Skidmore, MD

• Adult Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.