Kelly K Skinner, FNP - C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2006022291 Issued in MO

Practice address

19201 E Valley View Pkwy
Suite G
Independence, MO 64055-6910

Phone

(816) 254-2552

Fax

(816) 833-0398

NPI assigned

Dec 14, 2009

Last updated

Jan 26, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1760711188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 E VALLEY VIEW PKWY",
            "address_2": "SUITE G",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556910",
            "telephone_number": "816-254-2552",
            "fax_number": "816-833-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 E VALLEY VIEW PKWY",
            "address_2": "SUITE G",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556910",
            "telephone_number": "816-254-2552",
            "fax_number": "816-833-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "KELLY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2006022291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KELLY.SKINNER@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "19201 E Valley View Pkwy",
            "address_2": "SUITE G",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640556910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ryanna Kay Singleton
• Kendrick Sisco, NRP
• Serina Sitchler, COTA
• Munaf Siyamwala, M.D.
• Gary Owen Skinner, DO
• Jennifer D Skouse-Voll, P.A.
• Sleep Matters LLC
• Amara Leigh Sluder, FNP-C
• Olivia K Sluder, MSW, LCSW
• Shelby Smiley, FNP-C

• Family Nurse Practitioner in Independence, MO
• Providers in Independence, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.