Individual provider Active NPI

Skylar Rae Roth-Duerr

  • Registered Nurse
  • Milton, FL
National Provider Identifier
1780596270
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9539907 Issued in FL
Practice address
2650 Bayshore Pkwy
Milton, FL 32583-9522
Phone
(262) 729-6136
NPI assigned
Sep 19, 2026
Last updated
Sep 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9539907 FL Primary

Addresses

Primary practice location

2650 Bayshore Pkwy
Milton, FL 32583-9522

Mailing address

2650 Bayshore Pkwy
Milton, FL 32583-9522
Phone (262) 729-6136

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

NPI Registry JSON

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

{
    "created_epoch": "1789776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1780596270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAYSHORE PKWY",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325839522",
            "telephone_number": "262-729-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAYSHORE PKWY",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325839522",
            "telephone_number": "262-729-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH-DUERR",
        "first_name": "SKYLAR",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-19",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9539907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; 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.