Active NPI
Sandra Lu Skok
- Community/Behavioral Health Agency
- Spokane, WA
National Provider Identifier
1346600160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LH00007339
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LH00007339 | WA | MD | Community/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.