Active NPI
Kristin Lee Skadsberg
- Speech-Language Pathologist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 407 E 3Rd St
Essentia Health St Mary's Medical Center
Duluth, MN 55805-1950 - Phone
- (218) 786-4000
- NPI assigned
- Feb 25, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
407 E 3Rd St
Essentia Health St Mary's Medical Center
Duluth, MN 55805-1950
Mailing address
407 E 3Rd St
Essentia Health St Mary's Medical Center
Duluth, MN 55805-1950
Phone (218) 786-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients |
Locations
407 E 3rd St
Duluth, MN 55805
Phone (218) 786-4357
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Essentia Health Cloquet Clinic
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
dba Essentia Health Virginia Clinic
- Multi-Specialty Clinic/Center
- Virginia, MN
- NPI 1457387441
-
dba Essentia Health Hinckley Pharmacy
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1386069581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 E 3RD ST",
"address_2": "ESSENTIA HEALTH ST MARY'S MEDICAL CENTER",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051950",
"telephone_number": "218-786-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E 3RD ST",
"address_2": "ESSENTIA HEALTH ST MARY'S MEDICAL CENTER",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051950",
"telephone_number": "218-786-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKADSBERG",
"first_name": "KRISTIN",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.