Lily Lucille Marie Skorseth

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2600 Fernbrook LN N
Plymouth, MN 55447-4752

Phone

(952) 544-0349

NPI assigned

Feb 11, 2022

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lily Lucille Marie Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism Matters, Inc.

  dba Bertone Speech, Language & Communication Services

  • Speech-Language Pathologist
  • Plymouth, MN
  • NPI 1649469289
  NPD

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1871247494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 MEADOWBROOK LN",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264608",
            "telephone_number": "612-607-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FERNBROOK LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474752",
            "telephone_number": "952-544-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORSETH",
        "first_name": "LILY",
        "middle_name": "LUCILLE MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "NELSON",
            "middle_name": "LUCILLE MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abbie Siudzinski, ND
• SJDC LTD.
• Jessica Sklar, MA, LPCC
• Camryn Skoog
• Ronald Carl Skoogberg, MD
• Jenna Karyne Sladek, DPT
• Kathryne E Slavics, M.A.
• Madeline Slind
• Nancy Rains Slothower, PHD
• Traci A Smallwood, MA CCC SLP

• Behavior Technician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.