Cody Skabroud

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

1408 11TH St
Eau Claire, WI 54703-5047

Phone

(715) 314-0656

NPI assigned

Oct 8, 2024

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1508685264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 11TH ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035047",
            "telephone_number": "715-314-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 11TH ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035047",
            "telephone_number": "715-314-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKABROUD",
        "first_name": "CODY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurpreet Singh, M.D.
• Carly Ann Sisco, FNP-BC
• Emily E Sisco, CNM
• Allison Jean Siverling, OT
• Ellen Ann Siverling, BS
• Nathaniel Robert Skar
• Andrea Lynn Skinner, DO
• Chad James Skogstad, D.C.
• Lexi Slenczka, BS
• Tamara Jean Slinkard, M.D.

• Adult Care Home Facility in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.