Skye Gasidlo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703107607 Issued in MI

Practice address

20453 Maplewood St
Riverview, MI 48193-7927

Phone

(734) 752-0088

NPI assigned

Jan 26, 2016

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

State licenses

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1457718017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20453 MAPLEWOOD ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937927",
            "telephone_number": "734-752-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20453 MAPLEWOOD ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937927",
            "telephone_number": "734-752-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASIDLO",
        "first_name": "SKYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703107607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Lauren Broullire Frick, AUD
• Scott Friedman, D.O.
• Karen Joanne Fron, MPT, OMPT, CLT
• Florence Garcia
• Garry Garcia, PT
• GD Mi Riverview PLLC
• Denielle M Girao, OT
• Benedict Go, MD
• Jacquelyn Grabowski, DROT
• Edgar Gray

• All providers in Riverview, MI
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.