Nicole Ann Skaro, BA, PEND MPH, CPPS

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1683 Saint George St
Waconia, MN 55387-4549

Phone

(952) 258-9861

NPI assigned

Oct 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nicole Ann Skaro Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1801550330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553870293",
            "telephone_number": "952-258-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 SAINT GEORGE ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874549",
            "telephone_number": "952-258-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARO",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BA, PEND MPH, CPPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "data@vittorioresearchfoundation.org",
            "affiliation": "N",
            "endpointDescription": "Data",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1683 Saint George St",
            "city": "Waconia",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553874549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SKARO",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "BA, PEND MPH, CPPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Community Health Worker in Waconia, MN
• Providers in Waconia, MN by specialty
• Community Health Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.