Misty Skeen, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703082113 Issued in MI

Practice address

2850 S Industrial Hwy
Ann Arbor, MI 48104-6796

Phone

(734) 477-7204

NPI assigned

Jul 24, 2012

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

State licenses

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1336494640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HUBBLE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481614041",
            "telephone_number": "734-243-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S INDUSTRIAL HWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046796",
            "telephone_number": "734-477-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEEN",
        "first_name": "MISTY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703082113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael William Sjoding, MD
• Cameron Skaggs, MD
• Stephanie Lynn Skala, MD
• Leah Melissa Phelps Skaugset, M.D.
• Alison Skeels, MA, CCC-SLP
• Sarah A Skelly, P.A.-C
• Michelle Deanne Skewes, D.O
• Lillian Skiba-Thayer
• Erin Elizabeth Skibicki
• Alisha Skibo

• Licensed Practical Nurse in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.