Olga Maria Skinner, APRN
Individual provider Active NPI Family Nurse Practitioner · Lexington, KY
NPI 1659795243 · NPPES record last updated Sep 6, 2022
Key facts
- NPI
- 1659795243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3008527 (KY)
- Practice address
- 496 Southland Dr
Lexington, KY 40503-1827 - Phone
- (859) 288-2425
- Fax
- (859) 288-7510
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140916000403 | KY | Practitioner - Nurse Practitioner | 5991924482 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008527 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davanand Doodnauth,M.D., PSC | Current |
Accepting new patients |
Locations
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
3576 Pimlico Pkwy
Lexington, KY 40517
Phone (859) 252-6676
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3008527 | KY | Yes |
Addresses
Primary practice location
496 Southland Dr
Lexington, KY 40503-1827
Mailing address
496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425
Other practice location 1
3576 Pimlico Pkwy
Lexington, KY 40517-3700
Phone (859) 272-0608
Other practice location 2
1306 Versailles Rd Ste 120
Lexington, KY 40504-1795
Phone (859) 259-2635
Other providers in Lexington, KY
- Janis Lynn Skilling
- Skinmd
- Skinner Chiropractic
- Skinner Wellness Center PLC
- Brett Anthony Skinner
- Roger Matthew Skinner
- Sean Skinner
- Stephanie Ann Skinner
- William Hal Skinner
- Joanna Jacqueline Skipper
All providers in Lexington, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.