Jaclynn Nicole Skaggs, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

314888 Issued in TX

Practice address

8619 Olympia Dr
Amarillo, TX 79110-4911

Phone

(806) 206-6089

NPI assigned

Feb 21, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1689175135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 OLYMPIA DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791104911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 OLYMPIA DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791104911",
            "telephone_number": "806-206-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "JACLYNN",
        "middle_name": "NICOLE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "314888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John B Sims, M.D.
• Sadia Siraj
• Cailey Sirmon, FNP
• Deeanne Michelle Sisco-Bridges, RN
• Macy Shalyse Sitton
• Stacy Skeen, PTA
• Bonnie Lynn Skelton, LPC
• Mackenzie Lee Skelton, FNP
• Kayle Skidmore, LPC
• Carey Mark Skinner, L.P.C.

• Licensed Vocational Nurse in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.