Organization Active NPI

Sheryl Skinner FNP-BC PC

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1841553476
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN083807 Issued in AZ
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

Updated by the provider on Jun 19, 2012

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
496764MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.