Individual provider Active NPI

Charissa Noel Skinner, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1538424460
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000901 Issued in CO
Practice address
2205 W 29TH Ave
Denver, CO 80211-3803
Phone
(303) 458-1112
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0000901 CO Primary

Addresses

Primary practice location

2205 W 29TH Ave
Denver, CO 80211-3803

Mailing address

5500 DTC Pkwy Apt 420
Greenwood Village, CO 80111-3165

Other identifiers 1

IdentifierTypeStateIssuer
UNKNOWNOtherUNKNOWN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Woodlandcenter.com Other

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0000901COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Physical Therapy, PC PastSince Oct 12, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1538424460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 DTC PKWY APT 420",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113803",
            "telephone_number": "303-458-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "CHARISSA",
        "middle_name": "NOEL",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "UNKNOWN",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Woodlandcenter.com",
            "affiliation": "N",
            "endpointDescription": "Unknown",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Unknown",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "7120 Corbin Ave",
            "city": "Reseda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913353618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.