Active NPI
Denise Michelle Skinner, RD
- Registered Dietitian
- Shawnee, KS
National Provider Identifier
1740857192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2492
- Practice address
- 12322 W 55TH St
Shawnee, KS 66216-1404 - Phone
- (913) 645-0031
- NPI assigned
- Jun 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2020017999 | MO | |
| Registered Dietitian | 133V00000X | 2492 | KS | Primary |
Addresses
Primary practice location
12322 W 55TH St
Shawnee, KS 66216-1404
Mailing address
12322 W 55TH St
Shawnee, KS 66216-1404
Phone (913) 645-0031
Other practice location 1
610 E 22nd St
Kansas City, MO 64108-2647
Phone (816) 234-9231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2492 | KS | MD | Registered Dietitian |
| 2020017999 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tasty Balance LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1740857192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12322 W 55TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161404",
"telephone_number": "913-645-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12322 W 55TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161404",
"telephone_number": "913-645-0031"
}
],
"practiceLocations": [
{
"address_1": "610 E 22nd St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082647",
"country_code": "US",
"telephone_number": "816-234-9231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKINNER",
"first_name": "DENISE",
"middle_name": "MICHELLE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2020017999",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.