Provider Demographics
NPI:1194521583
Name:SKINNER, KAREEM RASHEED
Entity type:Individual
Prefix:
First Name:KAREEM
Middle Name:RASHEED
Last Name:SKINNER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 N CAPITOL ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-8957
Mailing Address - Country:US
Mailing Address - Phone:804-615-0106
Mailing Address - Fax:
Practice Address - Street 1:1515 N CAPITOL ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-8957
Practice Address - Country:US
Practice Address - Phone:804-615-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant