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SKINNER FAMILY PRACTICE LLC
NPI 1265924872
Family Medicine in Purcell, OK

Active since May 31, 2018CLIA 37D2158153 · Waiver
129 N 3RD AVE STE C, PURCELL, OK 73080(405) 641-6628(405) 527-8669 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skinner Family Practice Llc NPPES

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

SKINNER FAMILY PRACTICE LLC (NPI 1265924872) is a healthcare organization registered as a family medicine in Purcell, Oklahoma and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Tenia Ladonna Skinner, Physician, as its authorized official.

NPPES Registry Identity

NPI1265924872
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSKINNER FAMILY PRACTICE LLC
Location Address129 N 3RD AVE STE CPurcell, OK 73080
Mailing Address129 N 3rd Ave Ste CPurcell, OK 73080-4246 · (405) 641-6628 · Fax (405) 527-6569
Phone(405) 641-6628
Fax(405) 527-8669
Organization SubpartNo
Authorized OfficialTenia Ladonna SkinnerPhysician · (405) 641-6628
Enumeration DateMay 31, 2018
Last NPPES UpdateSeptember 5, 2018
✔ NPI 1265924872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
129 N 3RD AVE STE C, Purcell, OK 73080
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Other Identifiers 1

Medicaid200204740AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2158153

Skinner Family Practice, LLC · Purcell, OK
Active · expires Nov 19, 2026
CLIA Number37D2158153
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorTenia L. Skinner
Laboratory Phone(405) 641-6628
Laboratory LocationSkinner Family Practice, LLC121 N 3rd Ave, Ste C, Purcell, OK 73080
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TENIA LADONNA SKINNER D.O.
Family Medicine
129 N 3RD AVE STE C
PURCELL, OK 73080
McClain County (405) 641-6628
HEATHER LANE FRANCO APRN-CNP
Nurse Practitioner (Family)
129 N 3RD AVE STE C
PURCELL, OK 73080
McClain County (405) 641-6628

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 Skinner Family Practice LLC's NPI number?

The NPI number for Skinner Family Practice LLC is 1265924872. It was assigned to this organization in the NPPES registry on May 31, 2018.

Where is Skinner Family Practice LLC located?

Skinner Family Practice LLC is located at 129 N 3rd Ave Ste C, Purcell, OK 73080. The listed phone number is (405) 641-6628.

What is Skinner Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Skinner Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2158153) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skinner Family Practice LLC was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.