Nicole Skube

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

951 E Bogard Rd
Wasilla, AK 99654-7175

Phone

(907) 357-8622

Fax

(907) 357-8624

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mat-Su Activity and Respite Center

  • Developmentally Disabled Services Day Training Agency
  • Wasilla, AK
  • NPI 1679603740
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1912163759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547175",
            "telephone_number": "907-357-8622",
            "fax_number": "907-357-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547175",
            "telephone_number": "907-357-8622",
            "fax_number": "907-357-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUBE",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Sitbon
• Sitting Swan LLC
• Leslie Skan
• Shawn David Skinner
• Virginia Kristina Skinner
• Tracy J Slager, D.O.
• Sleep Centers of Alaska LLC
• Sleep Centers of Alaska LLC
• Taylor Cheyenne Smail, LMT
• Ginger Kay Small

• Case Manager/Care Coordinator in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.