VICKIE SKAGGS (NPI# 1174916696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174916696 |
| Entity Type | Individual |
| Full Name | VICKIE SKAGGS |
| Practice Address |
555 E Terra Ln O Fallon MO 63366-2725 |
| Practice Telephone | 6362402072 |
| Practice Fax Number | 6369801946 |
| Mailing Telephone | 6362402072 |
| Mailing Fax Number | 6369801946 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | MO | Speech, Language and Hearing Service Providers |
| Street Address |
555 E TERRA LN |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912047846 | Fort Zumwalt School District | Physical Therapist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2007-02-08 |
| 1457831877 | Christina Marie Cejas | Speech-Language Pathologist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2018-08-15 |
| 1285114603 | Lauren Cummins | Speech-Language Pathologist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2018-08-15 |
| 1619420684 | Katie Brynda | Speech-Language Pathologist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2016-07-26 |
| 1639547045 | Ashley Johnson | Speech-Language Pathologist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2015-09-02 |
| 1225413370 | Maggie Banal | Speech-Language Pathologist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2015-07-29 |
| 1134503949 | Colleen M Mattie | Specialist/Technologist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2015-07-13 |
| 1528467776 | Bridget Dimercurio | Occupational Therapist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2014-08-13 |
| 1144629387 | Sarah Ellen Parson | Speech-Language Pathologist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2014-08-13 |
| 1891050423 | Katherine Lea Boyd | Speech-Language Pathologist | 555 E Terra Ln, Special Services - Claim Care, O Fallon, MO 63366-2725 | 2012-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
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| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316508997 | Gary Amlong | Specialist/Technologist | 2820 Dardenne Links Dr, O Fallon, MO 63368-9741 | 2019-06-25 |
| 1134503949 | Colleen M Mattie | Specialist/Technologist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114441805 | Susan Govero | Specialist/Technologist | 234 E Anderson St, Republic, MO 65738-1300 | 2017-08-03 |
| 1538616032 | Marcia Heberle | Specialist/Technologist | 141 Wildcat Lane, Linn, MO 65051 | 2016-09-01 |
| 1215382726 | Kathy L Coleman | Specialist/Technologist | 5754 S Hilltop Dr, Springfield, MO 65810-2004 | 2016-05-03 |
| 1962836296 | Amanda S Hoge | Specialist/Technologist | 518 N Hampton, Special Services- Claim Care, Republic, MO 65738-1323 | 2013-08-22 |
| 1609126176 | Laurine Knowles | Specialist/Technologist | 101 W. Crandall, Meadville, MO 64659 | 2012-09-12 |
| 1356690911 | Karen Morrison | Specialist/Technologist | 2101 Lakeview Rd, Special Services -- Claim Care, Mexico, MO 65265-1358 | 2012-08-29 |
| 1457547556 | Wanda L Carey | Specialist/Technologist | 29302 Bieri Rd, California, MO 65018-3320 | 2007-09-21 |
| 1649266008 | Wade O'neal Jr. | Specialist/Technologist | 1530 E Primrose St Ste A, Springfield, MO 65804-7910 | 2005-09-21 |
| 1578005096 | Richard A Franklin | Specialist/Technologist | 7584 State Road T, Stoutland, MO 65567-4236 | 2016-11-15 |
| 1821465972 | Linda Donnelson | Specialist/Technologist | 409 W Locust St, Aurora, MO 65605-1422 | 2015-08-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.