MEDICARE: CARRIE ELIZABETH SKOPIC RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	ND14870	FL
2	133N00000X	Nutritionist	ND14870	FL

General Provider Information

NPI Number	:	1730040437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE ELIZABETH SKOPIC RD

Provider Business Mailing Address
First Line	:	3296 ATLANTIC CIR
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-8640
Country	:	US
Telephone Number	:	757-319-6378
Fax Number	:

Provider Business Practice Location Address
First Line	:	3296 ATLANTIC CIR
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-8640
Country	:	US
Telephone Number	:	757-319-6378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	03/03/2026

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