Latrice Samone Skipper, NDTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Practice address

595 Calhoun Ave Apt 7C
Bronx, NY 10465-2844

Phone

(718) 584-9000

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1255137857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CALHOUN AVE APT 7C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652844",
            "telephone_number": "718-584-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPPER",
        "first_name": "LATRICE",
        "middle_name": "SAMONE",
        "credential": "NDTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony F Skerritt
• Violeta Skevas
• SKG of New York Inc. (Heaven Aid Pharmacy)
• Skills to Be a Kid, OT Services, PLLC
• Sophie Alexandra Skinner, LMSW
• Eduard Sklyar, M.D.
• Anna Skokowska-Lebelt, MD
• Francesca N Skolas, MD
• Raya Tobie Skopicki, MD
• Anastasiya B Skorobogatova, WHNP

• Registered Dietetic Technician in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Dietetic Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.