Active NPI
Skinscience, LLC
- Adult Health Nurse Practitioner
- Valdosta, GA
National Provider Identifier
1346026028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- SKINSCIENCE, LLC
- Practice address
- 701 Baytree Rd Ste D
Valdosta, GA 31602-2881 - Phone
- (229) 560-2885
- NPI assigned
- Sep 7, 2023
- Last updated
- Sep 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Windy Dawn Giddens, NP-C
- Title
- Owner
- Phone
- (229) 560-2885
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NU | Primary | |
| Gerontology Nurse Practitioner | 363LG0600X | NU |
Addresses
Primary practice location
701 Baytree Rd Ste D
Valdosta, GA 31602-2881
Mailing address
4223 Oak Forest Dr
Valdosta, GA 31602-0853
Phone (229) 560-2885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Valdosta, GA
- NPI 1720451982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1346026028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 OAK FOREST DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316020853",
"telephone_number": "229-560-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 BAYTREE RD STE D",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022881",
"telephone_number": "229-560-2885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKINSCIENCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A",
"authorized_official_last_name": "GIDDENS",
"authorized_official_first_name": "WINDY",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-560-2885",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.