Active NPI
Virginia Skidmore
- Home Health Aide
- New Lexington, OH
National Provider Identifier
1871946061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2818375
- Practice address
- 130 S Pleasant St
New Lexington, OH 43764-1218 - Phone
- (740) 408-0005
- NPI assigned
- Jul 22, 2016
- Last updated
- Jul 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2818375 | OH | Primary |
Addresses
Primary practice location
130 S Pleasant St
New Lexington, OH 43764-1218
Mailing address
130 S Pleasant St
New Lexington, OH 43764-1218
Phone (740) 408-0005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2818375 | Medicaid | OH |
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 |
|---|---|---|---|
| 2818375 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1871946061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S PLEASANT ST",
"city": "NEW LEXINGTON",
"state": "OH",
"postal_code": "437641218",
"telephone_number": "740-408-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S PLEASANT ST",
"city": "NEW LEXINGTON",
"state": "OH",
"postal_code": "437641218",
"telephone_number": "740-408-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIDMORE",
"first_name": "VIRGINIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2818375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2818375",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Lexington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.