Roxanne Tillie Skogstad-Ditsch, M.ED., N.A.D.-III, L

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

261141 Issued in MN

Practice address

1929 8TH Ave. E.
International Falls, MN 56649-3017

Phone

(218) 283-9773

Fax

(218) 283-2092

NPI assigned

Aug 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Roxanne Tillie Skogstad Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1871725937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 8TH AVE E.",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566493017",
            "telephone_number": "218-283-9773",
            "fax_number": "218-283-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 8TH AVE. E.",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566493017",
            "telephone_number": "218-283-9773",
            "fax_number": "218-283-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOGSTAD-DITSCH",
        "first_name": "ROXANNE",
        "middle_name": "TILLIE",
        "name_prefix": "Ms.",
        "credential": "M.ED., N.A.D.-III, L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "261141",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ND",
            "license": "261141",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L25101-1",
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "SKOGSTAD",
            "middle_name": "TILLIE",
            "prefix": "MS.",
            "credential": "M.ED., N.A.D.-III, L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gordon Leroy Routier, D.C.
• Sanford Health of Northern Minnesota
• Sanford Health of Northern Minnesota
• Amy Schaffer, MA, LPP, LPC
• Shailynn Nicole Shipley, APRN, CNP
• Jesse Allan Skogstad I, PHARMD
• Jenny Skoog, PTA
• Tim Allen Smith, M.D.
• Nicholas Lee Starr, PSYD
• Anthony Christian Stone

• Behavior Analyst in International Falls, MN
• Providers in International Falls, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.