Individual provider Active NPI

Jared M Skowron, ND

  • Naturopath
  • Wallingford, CT
National Provider Identifier
1780745893
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000357 Issued in CT
Practice address
857 N Main Street Ext
#2
Wallingford, CT 06492-2465
Phone
(203) 265-0444
Fax
(203) 265-0472
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 000357 CT Primary

Addresses

Primary practice location

857 N Main Street Ext
#2
Wallingford, CT 06492-2465

Mailing address

857 N Main Street Ext
#2
Wallingford, CT 06492-2465
Phone (203) 265-0444

Other identifiers 2

IdentifierTypeStateIssuer
010357OtherCTCONNECTICARE
110000357CT01OtherCTBLUE CROSS ANTHEM

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

State licenses

LicenseStateTypeSpecialty
000357CTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric & Family Center Or Natural Medicine Naturopath 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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1780745893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 N MAIN STREET EXT",
            "address_2": "#2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922465",
            "telephone_number": "203-265-0444",
            "fax_number": "203-265-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 N MAIN STREET EXT",
            "address_2": "#2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922465",
            "telephone_number": "203-265-0444",
            "fax_number": "203-265-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOWRON",
        "first_name": "JARED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "010357",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ANTHEM",
            "identifier": "110000357CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.