Tina Maria Skinner, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

107959 Issued in SC

Practice address

2100 Bull St
Columbia, SC 29201-2104

Phone

(803) 898-0648

NPI assigned

Feb 27, 2017

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1598205304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CORISON LOOP",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299389",
            "telephone_number": "803-898-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BULL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012104",
            "telephone_number": "803-898-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "TINA",
        "middle_name": "MARIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "107959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Burner Skinner, PA-C
• Courtney Miracle Nicole Skinner
• Jessica Allen Skinner
• Quinyan Le'Shaun Skinner, FNP-C
• Suzanne Michelle Skinner, MSW, LISW-CP-S
• Delana Skipper
• Nicole M Skipper, CRNA
• Kari Skoglund
• Re'Vin Slack, MS, LMFT, APCC
• Joseph Slagle, L/PTA

• Registered Nurse in Columbia, SC
• Providers in Columbia, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.