JENNIFER LYON SKILLMAN


Address: 2025 S Galisteo, Santa Fe, NM 87505
Phone: 5059954901

JENNIFER LYON SKILLMAN (NPI# 1518935386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518935386
Entity Type Individual
Full Name JENNIFER LYON SKILLMAN
Credential MD
Practice Address 2025 S Galisteo
Santa Fe
NM 87505
Mailing Address 455 Saint Michaels Dr
Medical Staff Office
Santa Fe
NM 87505-7601
Practice Telephone 5059954901
Mailing Telephone 5058205227
Enumeration Date 2006-03-09
Last Update Date 2007-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 2001-104 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UHC 1829629 01
LOVELACE 10008300 01
MOLINA PROVP16140 01
NM 76438007 05
NM BCBS NM NM009J47 01

Office Location

Street Address 2025 S GALISTEO
City SANTA FE
State NM
Zip Code 87505

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
Find all providers in zip 87505

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104255454 Victor Lacerva Pediatrics 52 Zambra Way, Santa Fe, NM 87506-0154 2013-11-07
1194150318 Molina Medical Group of New Mexico, PC Pediatrics 1714 Saint Michaels Dr # 1, Santa Fe, NM 87505-7617 2013-09-06
1801177944 Joseph M Molina Md Professional Corporation-southern California Pediatrics 1714 Saint Michaels Dr, #1, Santa Fe, NM 87505-7617 2011-09-02
1669597258 St. Vincent Hospital Pediatrics 465 Saint Michaels Dr # 200, Santa Fe, NM 87505 2007-03-20
1255479309 Chad Smelser Pediatrics 1190 St Francis Dr, Santa Fe, NM 87502 2007-02-01
1225133143 Santa Fe Pediatric Associates PC Pediatrics 1418 Luisa Street, Suite 5, Santa Fe, NM 87505 2006-09-14
1285641498 Grace Nadell Pediatrics 5501 Herrera Contenta, Santa Fe, NM 87507 2006-08-01
1912956004 Richard D Kenney Pediatrics 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 2006-05-08
1801855309 Anne Cecelia Kessler Pediatrics 2590 Camino Entrada, Santa Fe, NM 87507-4876 2006-03-22
1760467724 Karen Armitage Pediatrics 605 Letrado St, Santa Fe, NM 87505-4146 2005-12-13
Find all providers in SANTA FE

Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

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.

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