Connie J. Skinner, ARNP
Individual provider Active NPI Family Nurse Practitioner · Sebree, KY
NPI 1669429593 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1669429593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3510P (KY)
- Practice address
- 7139 Hwy 56E
Sebree, KY 42455-0009 - Phone
- (270) 835-2200
- Fax
- (270) 835-2204
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Madisonville Inc | Past | Accepting new patients | |
| Cogent Healthcare of Kentucky, PSC | Past | Accepting new patients | |
| Sebree Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3510P | KY | Yes |
Addresses
Primary practice location
7139 Hwy 56E
Sebree, KY 42455-0009
Mailing address
PO Box 795
7139 St RT 56 E
Sebree, KY 42455-0009
Phone (270) 835-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78005683 | Medicaid | KY | |
| 000000492913 | Other | KY | BCBS |
| 000000520903 | Other | KY | BCBS |
| P00471564 | Other | KY | RR MEDICARE |
Other providers in Sebree, KY
- Redbanks Colonial Terrace Inc.
- Sea Breeze Seven, Inc.
- Sebree Clinic, LLC
- Sebree Medical Center
- Sebree Medical Group
- Teen Challenge of Florida, Inc.
All providers in Sebree, 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 Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.