Ms Michelle L Skidmore, RD, CDE is a
Dietitian, Registered based in La Conner, Washington. Ms Michelle L Skidmore is licensed to practice in Washington (license number DI00001414) and her current practice location is
17400 Reservation Rd, La Conner, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 466-3167.
NPI number for Ms Michelle L Skidmore is 1114080934 and her current mailing address is 5113 Heather Dr, Anacortes, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114080934.
Healthcare Provider's Profile
Full Name | Ms Michelle L Skidmore |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 17400 Reservation Rd, La Conner, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114080934
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Michelle L Skidmore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114080934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DI00001414 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Michelle L Skidmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Michelle L Skidmore, RD, CDE 5113 Heather Dr, Anacortes, WA 98221-3005 Ph: () - | Ms Michelle L Skidmore, RD, CDE 17400 Reservation Rd, La Conner, WA 98257-8801 Ph: (360) 466-3167 |
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