Active NPI
Sheryl Skinner FNP-BC PC
- Family Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1841553476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN083807
- Legal business name
- SHERYL SKINNER FNP-BC PC
- Practice address
- 10900 N Scottsdale Rd Ste 201
Scottsdale, AZ 85254-5228 - Phone
- (480) 299-7649
- Fax
- (866) 761-1196
- NPI assigned
- Jun 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sheryl L Skinner, FNP
- Title
- Owner
- Phone
- (480) 299-7649
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN083807 | AZ | Primary |
Addresses
Primary practice location
10900 N Scottsdale Rd Ste 201
Scottsdale, AZ 85254-5228
Mailing address
7119 E Shea Blvd
Ste 109 PMB 233
Scottsdale, AZ 85254-6107
Phone (480) 299-7649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496764 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
8175 E Evans Rd
Unit 12576
Scottsdale, AZ 85267
7119 E Shea Blvd
Ste 109
Scottsdale, AZ 85254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340064000000",
"number": "1841553476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7119 E SHEA BLVD",
"address_2": "STE 109 PMB 233",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546107",
"telephone_number": "480-299-7649",
"fax_number": "866-761-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 N SCOTTSDALE RD STE 201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852545228",
"telephone_number": "480-299-7649",
"fax_number": "866-761-1196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERYL SKINNER FNP-BC PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "SHERYL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-299-7649",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN083807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "496764",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.