Active NPI
Allyssa Fennelly Skowyra, D.C.
- Chiropractor
- Grass Valley, CA
National Provider Identifier
1295199420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33486
- Practice address
- 155 Spring Hill Dr Ste 201
Grass Valley, CA 95945 - Phone
- (530) 798-9988
- NPI assigned
- Apr 13, 2016
- Last updated
- Sep 5, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33486 | CA | Primary |
Addresses
Primary practice location
155 Spring Hill Dr Ste 201
Grass Valley, CA 95945
Mailing address
10184 Shekinah Hill Rd
Nevada City, CA 95959-9436
Phone (530) 798-9988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170719000128 | CA | Practitioner - Chiropractic | 9830469295 | Practice locations: Grass Valley, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33486 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1295199420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10184 SHEKINAH HILL RD",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599436",
"telephone_number": "530-798-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 SPRING HILL DR STE 201",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-798-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOWYRA",
"first_name": "ALLYSSA",
"middle_name": "FENNELLY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- 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.