Kathleen Skinner

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Practice address

22424 Milner St
Saint Clair Shores, MI 48081-2003

Phone

(586) 383-2269

NPI assigned

Jun 13, 2016

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

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.

• A Memory for Life

  • Respite Care
  • Saint Clair Shores, MI
  • NPI 1245783182
  NPD (past) Authorized official

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1700236502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22424 MILNER ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812003",
            "telephone_number": "586-383-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22424 MILNER ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812003",
            "telephone_number": "586-383-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott I Sircus, M.D.
• Adam Sirek, MD
• Steven V Siu, D.C.
• SJK Counseling LLC
• Anna Skardoutos, MA, LPC
• James Francis Skoney, D.D.S.
• Jayme Judith Slais
• Sleec, LLC
• Rita Bertha Sliman-Zouhrob, D.D.S.
• Michelle Lynn Sloan, RN, MSN, APN, BC

• Health Maintenance Organization in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.