Active NPI
Lindsey Anne Skinner, ARNP, FNP-BC
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349681
- Practice address
- 114 W 17TH St
New York, NY 10011-5433 - Phone
- (212) 321-7003
- Fax
- (212) 867-4353
- NPI assigned
- Oct 15, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60909279 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60919294 | WA | |
| Family Nurse Practitioner | 363LF0000X | 349681 | NY | Primary |
Addresses
Primary practice location
114 W 17TH St
New York, NY 10011-5433
Mailing address
129 W 29TH St FL 10
New York, NY 10001-5105
Phone (415) 658-6791
Other practice location 1
37624 SE Fury St Ste 101
Snoqualmie, WA 98065-9680
Phone (425) 888-2016
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lskinner1128460@wm.providencedirect.org | ||
| Direct Messaging Address | lskinner1128460@wm.providencedirect.org | ||
| Direct Messaging Address | lskinner1128460@wm.providencedirect.org | ||
| Direct Messaging Address | lskinner1128460@wm.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Embarcadero Ctr
Suite 1900
San Francisco, CA 94111-3723
129 W 29TH St
FL 10
New York, NY 10001-5105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349681 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| One Medical of Ny, P.C. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
250 Vesey St
Fl 18
New York, NY 10281
Phone (212) 530-2288
919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650
Interoperability endpoints
- lskinner1128460@wm.providencedirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Family Medicine Physician
- New York, NY
- NPI 1861709487
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1619443918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 W 29TH ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015105",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W 17TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115433",
"telephone_number": "212-321-7003",
"fax_number": "212-867-4353"
}
],
"practiceLocations": [
{
"address_1": "37624 SE Fury St Ste 101",
"address_purpose": "LOCATION",
"city": "Snoqualmie",
"state": "WA",
"postal_code": "980659680",
"country_code": "US",
"telephone_number": "425-888-2016",
"fax_number": "206-320-5170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKINNER",
"first_name": "LINDSEY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "ARNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60909279",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60919294",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "349681",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lskinner1128460@wm.providencedirect.org",
"affiliation": "N",
"address_1": "217 Broadway E",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981025723",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lskinner1128460@wm.providencedirect.org",
"affiliation": "N",
"address_1": "2450 33rd Ave W Ste 100",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981993252",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lskinner1128460@wm.providencedirect.org",
"affiliation": "N",
"address_1": "22707 SE 29th St",
"city": "Sammamish",
"state": "WA",
"country_code": "US",
"postal_code": "980759532",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lskinner1128460@wm.providencedirect.org",
"affiliation": "N",
"address_1": "37624 SE Fury St Ste 101",
"city": "Snoqualmie",
"state": "WA",
"country_code": "US",
"postal_code": "980659680",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.