Skin Pros LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SKIN PROS LLC

Practice address

12713 Magnolia Bay Blvd
Clermont, FL 34711-8144

Phone

(407) 205-4947

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Michael Frasure, ARNPNPI 1841380623

Title

Owner

Phone

(407) 205-4947

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S Frasure, ARNP

  • Nurse Practitioner
  • Windermere, FL
  • NPI 1841380623
  Medicare reassignment Authorized official
• Christina Asher, APRN

  • Family Nurse Practitioner
  • Clermont, FL
  • NPI 1902546674
  Medicare reassignment NPD

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1841072576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12713 MAGNOLIA BAY BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118144",
            "telephone_number": "407-205-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12713 MAGNOLIA BAY BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118144",
            "telephone_number": "407-205-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN PROS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "FRASURE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-205-4947",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren W. Sinopoli, D.M.D.
• Yarisol Siriotis
• Guyathri Mylinee Sivothayan, FNP-C
• Bradford C Skiff, M.S., A.T.C.
• Skills 4 You Florida, LLC
• Patricia Skoog, LMT
• Egle Skruodyte, DMD
• Savannah Skyers
• Blake Edward Slaughter
• Wendy Lin Sloan, LMHC

• Family Nurse Practitioner in Clermont, FL
• Providers in Clermont, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.