Kelly A Skinner, RN, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019575 Issued in IL

Practice address

936 E 93Rd St
Chicago, IL 60619-7814

Phone

(773) 731-5395

Fax

(773) 336-5545

NPI assigned

Jan 14, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Drexel Counseling Services, Inc.

  dba Hardin House

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1659743631
  NPD (past)
• Drexel Counseling Services, Inc.

  • Methadone Clinic
  • Chicago, IL
  • NPI 1679846919
  NPD (past)
• Mid-America Mental Health LLC

  • Clinical Psychologist
  • Valparaiso, IN
  • NPI 1710435094
  NPD (past)

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1679113062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197814",
            "telephone_number": "773-731-5395",
            "fax_number": "773-336-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197814",
            "telephone_number": "773-731-5395",
            "fax_number": "773-336-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9335 Calumet Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214176",
            "country_code": "US",
            "telephone_number": "219-836-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Marie Skibley, M.D.
• Skin Wellness Center of Chicago, SC
• Skinio Services, S.C.
• Brian Skinner, LCSW
• James Skinner
• Nicole Skinnion
• Irene R Skirius, D.D.S.
• Kateryna Alexandra Skirnyk, ACNP-BC
• David Sklar
• Farrah Raquel Sklar

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.