Active NPI
Kristina Alba Skinner, D.O.
- Interventional Cardiology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 010966
- Practice address
- 18700 N 64TH Dr Ste 301
Glendale, AZ 85308-7114 - Phone
- (602) 841-0741
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 010966 | AZ | Primary |
Addresses
Primary practice location
18700 N 64TH Dr Ste 301
Glendale, AZ 85308-7114
Mailing address
3575 E Ventana Canyon Dr
Tucson, AZ 85718-2227
Phone (954) 850-0658
Other practice location 1
1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 776-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Nova Southeastern College of Osteo Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1325 N Litchfield Rd
Suite 130
Goodyear, AZ 85395-1215
Phone (602) 249-8577
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010966 | AZ | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Outpatient Clinics, Inc. | Internal Medicine | Current | Accepting new patients |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients |
Locations
18700 N 64th Dr
Ste 301
Glendale, AZ 85308
Phone (623) 561-5437
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440
26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000
14815 W Bell Rd
Ste 104
Surprise, AZ 85374
Phone (623) 266-1041
519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408
811 N Tegner St
Ste 113
Wickenburg, AZ 85390
Interoperability endpoints
- kristina.skinner.1@600.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1790191039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3575 E VENTANA CANYON DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857182227",
"telephone_number": "954-850-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 N 64TH DR STE 301",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087114",
"telephone_number": "602-841-0741"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "AR",
"postal_code": "720153353",
"country_code": "US",
"telephone_number": "501-776-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKINNER",
"first_name": "KRISTINA",
"middle_name": "ALBA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "010966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.