Mackenzie James Skrba, HS

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

Uscg HQ, Comdt 2100 2ND Street
RM 5314
Washington, DC 20593-3154

Phone

(508) 968-6572

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

High School Graduate

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902882467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USCG HQ, COMDT 2100 2ND STREET",
            "address_2": "RM 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205933154",
            "telephone_number": "508-968-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USCG HQ, COMDT 2100 2ND STREET",
            "address_2": "RM 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205933154",
            "telephone_number": "508-968-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRBA",
        "first_name": "MACKENZIE",
        "middle_name": "JAMES",
        "credential": "HS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Mendel Sklar, M.D.
• Astero Skliras, MA CCC-SLP
• Eric D Skolnick, MD
• Maria Skordili, MSPT
• Lauren Johnston Skowera, AGAC-NP
• David Mark Skwara, D.D.S.
• Hana Skwish
• Vera C. Sky, LICSW
• Julie Slaats, RN,CPNP
• Rachel Suzanne Slabach, MD

• Other Technician in Washington, DC
• Providers in Washington, DC by specialty
• Other Technician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.