Individual provider Active NPI

Jolie Katherine Skelton, MD

  • Psychiatry Physician
  • New Braunfels, TX
National Provider Identifier
1902006810
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N2263 Issued in TX
Practice address
1528 E Common St Ste 10
New Braunfels, TX 78130-3336
Phone
(830) 299-4968
NPI assigned
Jul 19, 2007
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N2263 TX Primary
Psychiatry Physician 2084P0800X 036.145981 IL

Addresses

Primary practice location

1528 E Common St Ste 10
New Braunfels, TX 78130-3336

Mailing address

1101 Thorpe Lane
Ste 105 PMB 1020
San Marcos, TX 78666-5451
Phone (830) 299-4968

Other practice location 1

358 Landa St Ste 300
New Braunfels, TX 78130
Phone (830) 620-6221

Other practice location 2

1101 Thorpe Lane
Ste 105 PMB 1020
San Marcos, TX 78666-7866
Phone (830) 299-4968

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.145981ILMDPsychiatry Physician
N2263TXMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1902006810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 THORPE LANE",
            "address_2": "STE 105 PMB 1020",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665451",
            "telephone_number": "830-299-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 E COMMON ST STE 10",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303336",
            "telephone_number": "830-299-4968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "358 Landa St Ste 300",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "78130",
            "country_code": "US",
            "telephone_number": "830-620-6221",
            "fax_number": "830-620-5302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Thorpe Lane",
            "address_2": "Ste 105 PMB 1020",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667866",
            "country_code": "US",
            "telephone_number": "830-299-4968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "JOLIE",
        "middle_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N2263",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.145981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.