Active NPI
Brianne Skaros, FNP
- Nurse Practitioner
- Concord TWP, OH
National Provider Identifier
1881237378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN.375156
- Practice address
- 7590 Auburn Rd
Concord TWP, OH 44077-9176 - Phone
- (440) 953-9600
- NPI assigned
- Oct 28, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN.375156 | OH | Primary |
Addresses
Primary practice location
7590 Auburn Rd
Concord TWP, OH 44077-9176
Mailing address
6231 Meadowbrook Dr
Mentor, OH 44060-3637
Phone (440) 231-8542
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | @lakehealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240909004052 | OH | Order and Referring Only - Nurse Practitioner | 3173954682 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.375156 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1881237378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6231 MEADOWBROOK DR",
"city": "MENTOR",
"state": "OH",
"postal_code": "440603637",
"telephone_number": "440-231-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7590 AUBURN RD",
"city": "CONCORD TWP",
"state": "OH",
"postal_code": "440779176",
"telephone_number": "440-953-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAROS",
"first_name": "BRIANNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "RN.375156",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "@lakehealth.org",
"affiliation": "N",
"endpointDescription": "Communication",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "None",
"address_1": "7590 Auburn Rd",
"city": "Concord Twp",
"state": "OH",
"country_code": "US",
"postal_code": "440779176",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.