Stefanie Renee Skaggs, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.011717 Issued in IL

Practice address

5428 Williams Dr
Roscoe, IL 61073-7318

Phone

(779) 200-5802

NPI assigned

Nov 24, 2011

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1322092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322092800000",
    "number": "1922375690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11772 HAYLOFT LN",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738955",
            "telephone_number": "619-399-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737318",
            "telephone_number": "779-200-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "STEFANIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-24",
        "last_updated": "2011-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.011717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald P. Shelton, A.T.,C./L
• Heather Lynn Shick, D.M.D.
• Robert Dale Shultz, D.D.S.
• Brooke E Silberhorn, DC
• Marlena Lynn Sjostrom
• Kallie Smith, APRN
• Dana Smitley, PTA
• Evangeline Velasquez Soltes, PT
• Regino Isidro Sta Cruz Jr.
• Annie Pamela Stephens, D.C,

• Massage Therapist in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2011; 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.