Carolina M Skertchly, MSN, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1058117 Issued in TX

Practice address

1719 W 10TH St
Dallas, TX 75208-5855

Phone

(469) 300-5437

Fax

(469) 619-8619

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By the provider in NPPES

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

Other names 1

• Carolina Skertchly Harvey Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Hands Ministries Inc.

  dba Healing Hands Ministries Greenville Family

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
  • NPI 1306287529
  NPD (past)
• Pediatric Health Specialists, Inc

  • Pediatrics Physician
  • Irving, TX
  • NPI 1528586054
  NPD (past)

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1447915426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 W 10TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085855",
            "telephone_number": "469-300-5437",
            "fax_number": "469-619-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 W 10TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085855",
            "telephone_number": "469-300-5437",
            "fax_number": "469-619-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKERTCHLY",
        "first_name": "CAROLINA",
        "middle_name": "M",
        "credential": "MSN, PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1058117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "HARVEY",
            "middle_name": "SKERTCHLY",
            "credential": "MSN, PNP-PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebeka Skaria, PHARMD
• Ligy Skariah I
• Amy Renee Skeen Anderson, PSY D., LPC
• Leah Marie Skelton, NP-C
• Jennifer Skemp, LCSW
• Mariana Skertchly, RD, LD
• Richard Balk Skibell, DDS
• Adam Skidmore, NP
• Haydyn Carole Skidmore
• Tammy Marie Skidmore, FNP-C, RN

• Pediatric Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.