Robert Michael Skinner, MS, RD, CSSD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

Practice address

1 Olympic PLZ
Colorado Springs, CO 80909-5780

Phone

(719) 309-8777

NPI assigned

Sep 29, 2020

Sex

Male

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

Credentials

Master of Science

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1992312334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 THRUSH GRV",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205912",
            "telephone_number": "757-478-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLYMPIC PLZ",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095780",
            "telephone_number": "719-309-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "MS, RD, CSSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skills Academy Vocational Center
• Skin Perfect and Wellness LLC
• Adam Patrick Skinner, MA, LPCC
• Brynn Skinner, PA-C
• Kathe Skinner, M.A., L.M.F.T.
• Sharon Ann Skinner, PA-C
• Tanna Skinner, APN
• Trudy Michelle Skinner, P.T.
• Vanessa Skogstad
• Silvana Skoko, PMHNP-BC

• Sports Dietetics Nutrition Registered Dietitian in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Sports Dietetics Nutrition Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.