Devin Michael Ellery Skinner, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

112 Tippin Gym
Clarion University
Clarion, PA 16214

Phone

(814) 393-2456

NPI assigned

Jul 19, 2013

Sex

Male

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1265874226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 GRAND AVENUE EXT",
            "address_2": "APT. 2",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162146176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 TIPPIN GYM",
            "address_2": "CLARION UNIVERSITY",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "16214",
            "telephone_number": "814-393-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "DEVIN",
        "middle_name": "MICHAEL ELLERY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rea Shropshire, BA
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• Matthew Kevin Sitosky, M.ED., LPC, NCC
• John R Slagle, RPH
• Jeanne M. Slattery, PH.D.
• Keilani Jailynn Slaugenhaupt, CRNP
• David Joseph Smith, MD
• Jacob Smith, DO

• Athletic Trainer in Clarion, PA
• Providers in Clarion, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.