Diane Mary Skramstad

Primary specialty

Respite CareTaxonomy code 385H00000X

License

1059219 Issued in MN

Practice address

539 123Rd Ave NW
Coon Rapids, MN 55448-2617

Phone

(763) 755-6113

Fax

(763) 755-6113

NPI assigned

Jun 16, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1548886476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 123RD AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482617",
            "telephone_number": "763-755-6113",
            "fax_number": "763-755-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 123RD AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482617",
            "telephone_number": "763-755-6113",
            "fax_number": "763-755-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRAMSTAD",
        "first_name": "DIANE",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MN",
            "license": "1059219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jitka Sirucek, RPH
• Kathryn Ann Sivanich, BSN
• Wyatt Matthew Sjodin
• Krista Marie Skoglund, P.A.
• Kitty C. Skoog
• Wendoly R Slattery, MD
• Dillon Robert Sletten, D.C.
• Shelley Slominski, MA LMFT
• Angela Kathleen Smaciarz, NP
• Smarys Home Healthcare

• Respite Care in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Respite Care in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.