Active NPI
Krystyna Skowronski, MS. RD
- Pediatric Nutrition Registered Dietitian
- Detroit, MI
National Provider Identifier
1851834865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 001089897
- Practice address
- 22201 Moross Rd
Suite 135
Detroit, MI 48236-2169 - Phone
- (313) 343-7047
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 001089897 | MI | Primary |
Addresses
Primary practice location
22201 Moross Rd
Suite 135
Detroit, MI 48236-2169
Mailing address
22201 Moross Rd
Suite 135
Detroit, MI 48236-2169
Phone (313) 343-7047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001089897 | MI | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1851834865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22201 MOROSS RD",
"address_2": "SUITE 135",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362169",
"telephone_number": "313-343-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22201 MOROSS RD",
"address_2": "SUITE 135",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362169",
"telephone_number": "313-343-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOWRONSKI",
"first_name": "KRYSTYNA",
"name_prefix": "Mrs.",
"credential": "MS. RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "MI",
"license": "001089897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.