Christina Marie Skinner, RD
Individual provider Active NPI Registered Dietitian · Fairfield, MT
NPI 1962710046 · NPPES record last updated Sep 13, 2018
Key facts
- NPI
- 1962710046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 577 (MT)
- Practice address
- 867 1St Rd NE
Fairfield, MT 59436-9141 - Phone
- (406) 781-8294
- NPI assigned
- Sep 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110323000020 | MT | Practitioner - Registered Dietitian Or Nutrition Professional | 8123201530 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish for the Love of Food LLC | Dietitian, Registered | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 577 | MT | |
| Registered Dietitian | 133V00000X | 577 | MT | Yes |
Addresses
Primary practice location
867 1St Rd NE
Fairfield, MT 59436-9141
Mailing address
PO Box 206
Fairfield, MT 59436-0206
Phone (406) 781-8294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010762 | Other | MT | DIETETIC REGISTRATION ID NUMBER |
Other providers in Fairfield, MT
- Front Range Assisted Living, Inc.
- Frontier Family Practice
- Nourish for the Love of Food LLC
- Pivot Physical Therapy
- Grant Damon Poor
- Tammie Sue Smith
- Carmen Kay Staigmiller
- Still Point Wellness LLC
- Jill Tex
- Wholly Authentic Life LLC
All providers in Fairfield, MT · Registered Dietitian in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.