Individual provider Active NPI

Nicole Skowronek

  • Specialist
  • Chalfont, PA
National Provider Identifier
1336783141
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F03750 Issued in PA
Practice address
1500 Horizon Dr Ste 120D
Chalfont, PA 18914-3966
Phone
(267) 477-1446
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F03750 PA Primary

Addresses

Primary practice location

1500 Horizon Dr Ste 120D
Chalfont, PA 18914-3966

Mailing address

1500 Horizon Dr Ste 120D
Chalfont, PA 18914-3966
Phone (267) 477-1446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F03750PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Listen 2 Life LLC PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1336783141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HORIZON DR STE 120D",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143966",
            "telephone_number": "267-477-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HORIZON DR STE 120D",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143966",
            "telephone_number": "267-477-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOWRONEK",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "F03750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.