Skin Relief Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SKIN RELIEF SUPPLY

Practice address

10990 New Halls Ferry Rd Ste J110
Saint Louis, MO 63136-4471

Phone

(314) 492-4008

NPI assigned

Dec 7, 2018

Organization subpart

No

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

Authorized official

Name

Ibeth Buitrago

Title

Ceo

Phone

(314) 492-4008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1992276604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 NEW HALLS FERRY RD STE J-110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 NEW HALLS FERRY RD STE J110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364471",
            "telephone_number": "314-492-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN RELIEF SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "BUITRAGO",
        "authorized_official_first_name": "IBETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-492-4008"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Skender, MD
• Rita Marie Skiba-Mathews, LCSW
• Grace Skiljan
• Scott Andrew Skillington, MD
• Marion Skillman
• Nancy L Skinker, CRNA
• Derrick Skinner Sr., LCSW
• Kristina Camba Skinner, FNP
• Kyra Skinner, PA-C
• Regina Skinner, AA-C

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.