Katherine E Skillman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

250 W Kings Hwy
Eden, NC 27288-5010

Phone

(336) 623-5171

Fax

(336) 627-5747

NPI assigned

Aug 7, 2007

Last updated

Aug 7, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: kskillman@dayspring.trimed.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dayspring Family Medicine

  • Family Medicine Physician
  • Eden, NC
  • NPI 1235131426
  Medicare reassignment

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1245421072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885010",
            "telephone_number": "336-623-5171",
            "fax_number": "336-627-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885010",
            "telephone_number": "336-623-5171",
            "fax_number": "336-627-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLMAN",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashish C Shah, M.D.
• Chamundambika Shanmugam, MD
• Walter Brian Shepherd, DDS MS
• Chelsea Victoria Shields Burns, PHARMD
• Joseph Aaron Sivak, MD
• Ronald Le Slaughter, HIS
• Julian Thomas Slaydon Jr., L.M.F.T.
• Insook Baik Smith, D.D.S.
• Sierra Smith, OTR/L
• Frank C Snyder, MD

• Medical Physician Assistant in Eden, NC
• Providers in Eden, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.