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ANDREA NICOLE SKIDMORE LPN
NPI 1174146757
Licensed Practical Nurse in Newark, OH

Active since May 18, 2020
1060 STEWART ST, NEWARK, OH 43055(740) 405-1184 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, May 18, 2020 (2 updates tracked since 2020).

About Andrea Nicole Skidmore Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA NICOLE SKIDMORE LPN (NPI 1174146757) is an individual licensed practical nurse in Newark, Ohio, licensed in Ohio (LPN.154288.MEDS-IV) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1174146757
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANDREA NICOLE SKIDMORECredential: LPN
Location Address1060 STEWART STNewark, OH 43055-6030
Mailing Address1060 Stewart StNewark, OH 43055-6030 · (740) 405-1184
Phone(740) 405-1184
Sole ProprietorYes
Enumeration DateMay 18, 2020
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
✔ NPI 1174146757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · LPN.154288.MEDS-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1060 STEWART ST, Newark, OH 43055
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Skidmore's NPI number?

The NPI number for Andrea Skidmore is 1174146757. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Andrea Skidmore located?

Andrea Skidmore practices at 1060 Stewart St, Newark, OH 43055. The listed phone number is (740) 405-1184.

What is Andrea Skidmore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Andrea Skidmore was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.