Active NPI
Alicia Michelle Skinner, RD
- Registered Dietitian
- Topeka, KS
National Provider Identifier
1558645697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1362
- Practice address
- 2200 SW Gage Blvd
Topeka, KS 66622 - Phone
- (785) 350-3111
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1362 | TN | Primary |
Addresses
Primary practice location
2200 SW Gage Blvd
Topeka, KS 66622
Mailing address
3823 NW Topeka Blvd
Topeka, KS 66617
Phone (731) 336-8455
Other names 1
- Alishia Michelle Teague
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1362 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1558645697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3823 NW TOPEKA BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "66617",
"telephone_number": "731-336-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 SW GAGE BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "66622",
"telephone_number": "785-350-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "ALICIA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "1362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISHIA",
"last_name": "TEAGUE",
"middle_name": "MICHELLE",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.