Active NPI
Vallie Skelton
- Licensed Practical Nurse
- Newton, AL
National Provider Identifier
1861068686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 2-050363
- Practice address
- 9283 W US 84
Newton, AL 36352-8207 - Phone
- (334) 692-4455
- NPI assigned
- Jun 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 2-050363 | AL | |
| Licensed Practical Nurse | 164W00000X | 2-050363 | AL | Primary |
Addresses
Primary practice location
9283 W US 84
Newton, AL 36352-8207
Mailing address
9283 W US 84
Newton, AL 36352-8207
Phone (334) 692-4455
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 |
|---|---|---|---|
| 2-050363 | AL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Treatment Center, LLC | Past | Accepting new patients | |
| Medmark Treatment Centers of Alabama, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Newton, AL
- NPI 1972691293
-
- Methadone Clinic
- Newton, AL
- NPI 1114398799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1861068686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9283 W US 84",
"city": "NEWTON",
"state": "AL",
"postal_code": "363528207",
"telephone_number": "334-692-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9283 W US 84",
"city": "NEWTON",
"state": "AL",
"postal_code": "363528207",
"telephone_number": "334-692-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELTON",
"first_name": "VALLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "AL",
"license": "2-050363",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AL",
"license": "2-050363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.