Active NPI
Lyndsey Jo Skaar
- Home Health Aide
- Merrillan, WI
National Provider Identifier
1346066909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 20245143P
- Practice address
- W9873 Garage Rd
Merrillan, WI 54754-8262 - Phone
- (715) 937-8447
- NPI assigned
- Nov 28, 2024
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 20245143P | WI | Primary |
Addresses
Primary practice location
W9873 Garage Rd
Merrillan, WI 54754-8262
Mailing address
W9873 Garage Rd
Merrillan, WI 54754-8262
Phone (715) 937-8447
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20245143P | WI | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732752000000",
"number": "1346066909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W9873 GARAGE RD",
"city": "MERRILLAN",
"state": "WI",
"postal_code": "547548262",
"telephone_number": "715-937-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W9873 GARAGE RD",
"city": "MERRILLAN",
"state": "WI",
"postal_code": "547548262",
"telephone_number": "715-937-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAAR",
"first_name": "LYNDSEY",
"middle_name": "JO",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-28",
"last_updated": "2024-11-28",
"certification_date": "2024-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "WI",
"license": "20245143P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrillan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.