Active NPI
Mary Katherine Skilling, PA-C
- Physician Assistant
- Dallas, TX
National Provider Identifier
1477394856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1935 Medical District Dr
Dallas, TX 75235-7701 - Phone
- (214) 456-7000
- NPI assigned
- Jun 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Mailing address
5727 Marquita Ave
Dallas, TX 75206-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1477394856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5727 MARQUITA AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752066111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701",
"telephone_number": "214-456-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKILLING",
"first_name": "MARY",
"middle_name": "KATHERINE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-01",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Haydyn Carole Skidmore
- Tammy Marie Skidmore, FNP-C, RN
- Lakiesha Nicole Skief, MSN, APRN, FNP-C
- Skilled Specialty Consultants PLLC
- Skillful Hands Hospice, Inc
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- Skinner Chiropractic, PLLC (Action Chiropractic)
- Corey Walter Skinner, DC
- Jessica Franco Skinner, LCSW
- Jessie Lynn Skinner, MS, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.