MRS. MOLLY SUSAN PHILLIPP (NPI# 1003925819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003925819 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY SUSAN PHILLIPP |
| Credential | C.R.N.P. |
| Practice Address |
2065 E 17th St Suite D Idaho Falls ID 83404-8042 |
| Practice Telephone | 2085220747 |
| Practice Fax Number | 2085229641 |
| Mailing Telephone | 2085220747 |
| Mailing Fax Number | 2085229641 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NP320A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP320A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002352900 | 05 |
| Street Address |
2065 E 17TH ST SUITE D |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821106089 | Daniel K Hinckley | Specialist | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2006-08-28 |
| 1366984437 | Gene K. Hodges M.d. | Family Medicine | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2016-11-07 |
| 1205135456 | Laura Coryell | Physician Assistant | 2065 E 17th St, St # B, Idaho Falls, ID 83404-8042 | 2011-03-26 |
| 1932417607 | Julian Debruynkops Md Pa | Family Medicine | 2065 E 17th St, Suite C, Idaho Falls, ID 83404-8042 | 2010-09-16 |
| 1164755104 | Ivy A. Hansen | Physician Assistant | 2065 E 17th St, Suite D, Idaho Falls, ID 83404-8042 | 2009-09-09 |
| 1477700573 | Rebecca A. Westergard | Physician Assistant | 2065 E 17th St, Suite D, Idaho Falls, ID 83404-8042 | 2008-08-20 |
| 1659405140 | Gene K. Hodges M.d. | Family Medicine | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2007-03-15 |
| 1518035336 | Daniel K Hinckley Md Pa | Specialist | 2065 E 17th St, St A, Idaho Falls, ID 83404-8042 | 2006-12-01 |
| 1730257791 | Boyd L Hammond Md Pa | Surgery | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2006-11-30 |
| 1750489100 | Mark Lee Capener | Otolaryngology | 2065 E 17th St, Suite B-2, Idaho Falls, ID 83404-8042 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699701615 | Margaret Ann Leverett | Nurse Practitioner | 2305 Coronado Street, Idaho Falls, ID 83404 | 2006-06-23 |
| 1972615466 | Margaret Leverett, Rncnp, Pllc | Nurse Practitioner | 2305 Coronado Street, Idaho Falls, ID 83404 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013572973 | Jessica Rose Mcqueary | Nurse Practitioner | 100 E Idaho St, Boise, ID 83712-6267 | 2019-05-07 |
| 1629400734 | Brennan N Carmody | Nurse Practitioner | 520 S Eagle Rd, Ste 3209, Meridian, ID 83642-6351 | 2013-07-31 |
| 1780949164 | Cortney Lynn Schnupp | Nurse Practitioner | 333 N 1st St, 240, Boise, ID 83702-6100 | 2012-07-11 |
| 1710132931 | Jennifer Lynn Newman | Nurse Practitioner | 333 N 1st St Ste 240, Boise, ID 83702-6132 | 2008-12-02 |
| 1861689655 | Jenny Ann Stireman | Nurse Practitioner | 100 Hospital Dr., Suite 200, Ketchum, ID 83340 | 2007-09-26 |
| 1528271103 | Susan Eliane Ault | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2007-05-08 |
| 1629294194 | Kerri L Tucker | Nurse Practitioner | 100 E Idaho St, Ste 400, Boise, ID 83712-6267 | 2007-04-17 |
| 1164441143 | Kathleen A. Martin | Nurse Practitioner | 520 S Eagle Rd, Suite 3209, Meridian, ID 83642-6351 | 2006-07-19 |
| 1659396430 | Ruth Butterfield | Nurse Practitioner | 100 E Idaho St, Suite 400, Boise, ID 83712-6223 | 2006-07-13 |
| 1699724633 | Velma Seabolt | Nurse Practitioner | 333 N 1st St, Suite 240, Boise, ID 83702-6100 | 2006-05-08 |
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| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.