Active NPI
Christine Marie Skalko
- Case Management Registered Nurse
- Duluth, MN
National Provider Identifier
1619128105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- R184947-7
- Practice address
- 4815 Burning Tree Rd
#106
Duluth, MN 55811-3800 - Phone
- (218) 733-0707
- Fax
- (218) 733-0717
- NPI assigned
- Oct 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | R184947-7 | MN | Primary |
Addresses
Primary practice location
4815 Burning Tree Rd
#106
Duluth, MN 55811-3800
Mailing address
4815 Burning Tree Rd
#106
Duluth, MN 55811-3800
Phone (218) 733-0707
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R184947-7 | MN | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1619128105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 BURNING TREE RD",
"address_2": "#106",
"city": "DULUTH",
"state": "MN",
"postal_code": "558113800",
"telephone_number": "218-733-0707",
"fax_number": "218-733-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 BURNING TREE RD",
"address_2": "#106",
"city": "DULUTH",
"state": "MN",
"postal_code": "558113800",
"telephone_number": "218-733-0707",
"fax_number": "218-733-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKALKO",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-02",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MN",
"license": "R184947-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.