Active NPI
Amy L. Skinner
- Professional Counselor
- Knoxville, TN
National Provider Identifier
1245733401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1434
- Practice address
- 10426 Jackson Oaks Way Ste 102
Knoxville, TN 37922-0709 - Phone
- (052) 588-2979
- NPI assigned
- Mar 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1434 | TN | Primary |
Addresses
Primary practice location
10426 Jackson Oaks Way Ste 102
Knoxville, TN 37922-0709
Mailing address
5448 Lance Dr
Knoxville, TN 37909-1851
Phone (865) 258-8297
Other names 1
- Dr. Amy L Skinner
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1434 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1245733401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5448 LANCE DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091851",
"telephone_number": "865-258-8297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10426 JACKSON OAKS WAY STE 102",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379220709",
"telephone_number": "052-588-2979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "AMY",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TN",
"license": "1434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SKINNER",
"middle_name": "L",
"prefix": "DR.",
"credential": "PHD, LPC-MHSP, ACS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.