MR. MARK BRADLEY SKINNER (NPI# 1699860809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699860809 |
| Entity Type | Individual |
| Full Name | MR. MARK BRADLEY SKINNER |
| Credential | CNP |
| Practice Address |
824 Bowtown Rd Delaware OH 43015-9661 |
| Practice Telephone | 7403697688 |
| Practice Fax Number | 7403634814 |
| Mailing Telephone | 7403697688 |
| Mailing Fax Number | 7403634814 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
I10219 | OH | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
COA.15326.NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952339145 | Mark Lowrey Skinner | Optometrist | 8275 Sierra Ave, Suite 103, Fontana, CA 92335-3557 | 2006-06-28 |
| 1891873550 | Mark N. Skinner | Orthopaedic Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1700858370 | Mark Skinner | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-02-07 |
| Street Address |
824 BOWTOWN RD |
| City | DELAWARE |
| State | OH |
| Zip Code | 43015-9661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619991841 | Ann Marie Snyder | Psychiatry & Neurology | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2006-07-27 |
| 1134731086 | Megan Moneypenny | Social Worker | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-08-21 |
| 1164034229 | Karla Deayne Morton | Counselor | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-08-20 |
| 1740816172 | Julie Ann Williams | Adult Companion | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-03-17 |
| 1417580598 | Vanessa Pirela | Case Manager/Care Coordinator | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-02-18 |
| 1184264301 | Jessica Nicole Kemp | Counselor | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-01-15 |
| 1386284099 | Emily Morgan Norton | Case Manager/Care Coordinator | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-01-10 |
| 1326688334 | Southeast, Inc. | Clinic/Center | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-01-08 |
| 1588209456 | Verna Jeanette Holt | Licensed Practical Nurse | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2019-11-14 |
| 1588208227 | Stacey Marie Westbrook | Peer Specialist | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414523 | Tranquility Health Care LLC | Hospice Care, Community Based | 1949 West Central Ave, Suite C, Delaware, OH 43015 | 2019-12-11 |
| 1962056416 | Kelsey Mae Mcpherson | Occupational Therapist | 494 W Central Ave Optional, Delaware, OH 43015 | 2019-08-01 |
| 1821653791 | Keyana Kelley | Optometrist | 1260 Sunbury Road, Suite B, Delaware, OH 43015 | 2019-05-07 |
| 1871009498 | Hagar Ackah-andoh | Registered Nurse | 181 Mcnamara Loop, Lewis Center, OH 43015 | 2017-12-19 |
| 1144749227 | Huzianatu Bundu | Registered Nurse | 130 Crystal Petal Drive, Delaware, OH 43015 | 2017-09-11 |
| 1093232563 | Stephanie Chappel | Occupational Therapist | 746 State Route 37, Delaware, OH 43015 | 2017-08-25 |
| 1083154066 | Angela Vinokur | Counselor | 250 S. Henry St., Delaware, OH 43015 | 2017-02-24 |
| 1437697752 | Dorita Patricia Thompson | Nurse's Aide | 88 N Sandusky Street, Delaware, OH 43015 | 2017-02-07 |
| 1750832762 | Jenni Rebecca Longo | Counselor | 88 North Sandusky St, Dlaware, OH 43015 | 2016-10-14 |
| 1851744403 | Samuel Edward Balla | Social Worker | 88 N. Sandusky St, Delaware, OH 43015 | 2016-07-19 |
| Find all providers in zip 43015 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
| 1649508540 | Kwasi Owusu-nti | Nurse Practitioner | 60 Winding Valley Dr, Delaware, OH 43015-7194 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
| 1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
| 1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
| 1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
| 1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
| 1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| 1750994125 | Soumi Dey | Nurse Practitioner | 2085 Citygate Dr, Columbus, OH 43219-3656 | 2020-08-26 |
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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.