Individual provider Active NPI

Sandra Lu Skok

  • Community/Behavioral Health Agency
  • Spokane, WA
National Provider Identifier
1346600160
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LH00007339 Issued in WA
Practice address
960 E 3Rd Ave
Spokane, WA 99202-2241
Phone
(509) 444-7033
Fax
(509) 444-7038
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LH00007339 WA Primary

Addresses

Primary practice location

960 E 3Rd Ave
Spokane, WA 99202-2241

Mailing address

514 S Ray St
Spokane, WA 99202-5160
Phone (509) 216-8890

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
LH00007339WAMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1346600160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S RAY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025160",
            "telephone_number": "509-216-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022241",
            "telephone_number": "509-444-7033",
            "fax_number": "509-444-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOK",
        "first_name": "SANDRA",
        "middle_name": "LU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LH00007339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.