Active NPI
Skin Care Clinic PLLC
- Family Nurse Practitioner
- Newton, IA
National Provider Identifier
1427319672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-076022
- Legal business name
- SKIN CARE CLINIC PLLC
- Practice address
- 204 N 4TH Ave E
Newton, IA 50208-3135 - Phone
- (641) 792-1273
- NPI assigned
- Jun 5, 2012
- Last updated
- Aug 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Sue Schilling, NP-C
- Title
- Owner
- Phone
- (515) 669-5520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A-076022 | IA | Primary |
Addresses
Primary practice location
204 N 4TH Ave E
Newton, IA 50208-3135
Mailing address
2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427319672 | Medicaid | IA | |
| 1427319672 | Other | IA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120803000808 | IA | Part B Supplier - Clinic/Group Practice | 4981850153 | Practice locations: Newton, IA; Grinnell, IA; Atlantic, IA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Newton, IA
- NPI 1063447712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470873600000",
"number": "1427319672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125305",
"telephone_number": "515-237-3974",
"fax_number": "515-883-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N 4TH AVE E",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083135",
"telephone_number": "641-792-1273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN CARE CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-05",
"last_updated": "2016-08-11",
"status": "A",
"authorized_official_last_name": "SCHILLING",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-669-5520",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-076022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427319672",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1427319672",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.