Organization Active NPI

Skill Stackers LLC

Doing business as Jessica Bangora

  • Early Intervention Provider Agency
  • Venice, FL
National Provider Identifier
1528771326
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SKILL STACKERS LLC
Doing business as
Jessica Bangora
Practice address
1313 Laurel Ave
Venice, FL 34285-7924
Phone
(941) 248-5068
NPI assigned
Dec 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jessica Elizabeth BangoraNPI 1609903343
Title
Proprietor
Phone
(941) 248-5068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1313 Laurel Ave
Venice, FL 34285-7924

Mailing address

1313 Laurel Ave
Venice, FL 34285-7924
Phone (941) 248-5068

Other names 2

  • Jessica Bangora Doing business as
  • Skill Stackers LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1528771326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 LAUREL AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857924",
            "telephone_number": "941-248-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 LAUREL AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857924",
            "telephone_number": "941-248-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILL STACKERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "BANGORA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "941-248-5068",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica Bangora",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skill Stackers LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.