Skinner Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SKINNER FAMILY PRACTICE LLC

Practice address

129 N 3Rd Ave Ste C
Purcell, OK 73080

Phone

(405) 641-6628

Fax

(405) 527-8669

NPI assigned

May 31, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tenia Ladonna Skinner, DONPI 1114182342

Title

Physician

Phone

(405) 641-6628

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tenia Ladonna Skinner, D.O.

  • Family Medicine Physician
  • Purcell, OK
  • NPI 1114182342
  Medicare reassignment NPD Authorized official
• Heather Lane Franco, APRN-CNP

  • Family Nurse Practitioner
  • Purcell, OK
  • NPI 1700476793
  NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1265924872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N 3RD AVE STE C",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730804246",
            "telephone_number": "405-641-6628",
            "fax_number": "405-527-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N 3RD AVE STE C",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "73080",
            "telephone_number": "405-641-6628",
            "fax_number": "405-527-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "TENIA",
        "authorized_official_middle_name": "LADONNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-641-6628",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200204740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie R Schmidt, D.D.S.
• Charlotte L Shackelford, PAC
• Tonja Shandy, P.A.- C
• Larry Sharp, D.O.
• Clarissa Shomo
• Tenia Ladonna Skinner, D.O.
• Brad Michael Smith
• Christopher Don Smith
• Desa Lynn Smith, MSPS, LPC
• Hannah Renee Smith

• Family Medicine Physician in Purcell, OK
• Providers in Purcell, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.