Amy Jo Skordal, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60503166 Issued in WA

Practice address

1210 SW 136TH Street
Burien, WA 98166

Phone

(206) 257-6600

Fax

(206) 257-6820

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling Services for Wellbeing, Inc.Group PAC ID 2163641598, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Counseling Services for Wellbeing, Inc.

  • Marriage & Family Therapist
  • Burien, WA
  • NPI 1588080626
  Medicare reassignment Care Compare group NPD
• Navos

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1194728105
  Medicare reassignment NPD
• Skordal Psychiatric Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Helena, MT
  • NPI 1306106018
  NPD (past) Authorized official
• Navos

  • Psychiatric Hospital
  • Seattle, WA
  • NPI 1124034699
  NPD

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1659633196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SW 136TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98166",
            "telephone_number": "206-257-6600",
            "fax_number": "206-257-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SW 136TH STREET",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98166",
            "telephone_number": "206-257-6600",
            "fax_number": "206-257-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORDAL",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60503166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041895",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Sisto, BA
• Debra Lynn Skaarland, LPN
• Taylor Skelton, DPT
• Suzanne F Skinner, MD
• Jemima Lyn Skjonsby, MA, LMHC
• Scott Slaymaker, MD
• Amanda Sloan, PA-C
• Tracy-Ann N Smith-Davis
• Cameron Gordon Hampton Smith, M.D.
• Cherrise Smith

• Psychiatric/Mental Health Nurse Practitioner in Burien, WA
• Providers in Burien, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.

Verify at the official NPI Registry.