Kyla R Skinner

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2410 Evergreen Rd Ste 100
Gambrills, MD 21054-2070

Phone

(410) 451-8150

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1366260317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 ARKBLACK TER",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133689",
            "telephone_number": "505-331-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 EVERGREEN RD STE 100",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542070",
            "telephone_number": "410-451-8150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 State Route 3 S",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541318",
            "country_code": "US",
            "telephone_number": "362-443-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "KYLA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava J Silva
• Suzana Mansoldo Silva, PA-C
• Silverleaf Consulting Services, LLC.
• Maksim Simakhodskiy, LMT
• Lori Beth Simmons, LMFT
• Michelle Marie Skinner, D.O.
• Norman Douglas Slovis, DDS
• Arnold Jay Slutskin, DDS
• Crystal Marie Smith, CRNP
• La Toya Bianca Smith, PHD

• Student in an Organized Health Care Education/Training Program in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Student in an Organized Health Care Education/Training Program in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.