KATHERINE ANNE PHILLIPS (NPI# 1013410158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013410158 |
| Entity Type | Individual |
| Full Name | KATHERINE ANNE PHILLIPS |
| Credential | APRN-FNP-BC |
| Practice Address |
1102 N County Road 700 Warsaw IL 62379-3011 |
| Practice Telephone | 2172564100 |
| Practice Fax Number | 2172563800 |
| Mailing Telephone | 2172564100 |
| Mailing Fax Number | 2172563800 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209017309 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063927242 | Katherine Ann Phillips | Chiropractor | 5215 N Sabino Canyon Rd Ste 110, Tucson, AZ 85750-6435 | 2017-12-09 |
| 1992901201 | Katherine Dolores Phillips | Counselor | 2929 S Acoma St, Englewood, CO 80110-1507 | 2007-06-23 |
| 1811026719 | Katherine Hess Phillips | Optometrist | 5335 Meadows Rd, Suite 151, Lake Oswego, OR 97035-3398 | 2007-03-05 |
| 1548324247 | Katherine J. Phillips | Social Worker | 451 Carlisle Dr # A, Herndon, VA 20170-4819 | 2006-12-20 |
| 1053979336 | Katherine Rae Phillips | Speech-Language Pathologist | 9701 Monrovia St, Lenexa, KS 66215-1564 | 2019-06-03 |
| 1902367717 | Katherine Alena Phillips | Occupational Therapist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2019-03-26 |
| 1811476625 | Katherine Anne Phillips | Counselor | 1028 Barret Ave, Louisville, KY 40204-1667 | 2018-08-13 |
| 1982199535 | Katherine Maria Phillips | Social Worker | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2018-06-26 |
| 1891221768 | Katherine Phillips | Registered Nurse | 3629 S D St, Tacoma, WA 98418-6813 | 2017-05-11 |
| 1982940995 | Katherine H Phillips | Nurse Practitioner | 1245 Eastern Blvd, Baltimore, MD 21221-3422 | 2012-12-19 |
| Street Address |
1102 N COUNTY ROAD 700 |
| City | WARSAW |
| State | IL |
| Zip Code | 62379-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326082454 | Eliot M Nissenbaum | Internal Medicine | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-06-16 |
| 1952461782 | Annette Yvonne Oetken | Family Medicine | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-12-11 |
| 1528143971 | Richard Lewis O'halloran | Urology | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-10-26 |
| 1720169899 | Dale D Zimmerman | Family Medicine | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-10-17 |
| 1255430104 | Teresa Metzger | Nurse Practitioner | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-09-21 |
| 1720186265 | Blessing Corporate Services | Clinic/Center | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295705622 | Community Health Centers of Southeastern Iowa Inc | Family Medicine | 345 Polk St, Warsaw, IL 62379-1033 | 2006-01-26 |
| 1922200484 | Warsaw Comm Unit Schl Dist 316 | Local Education Agency (LEA) | 340 S 11th St, Warsaw, IL 62379-1431 | 2007-06-05 |
| 1407074628 | Darlene Louise Young | Private Vehicle | 583 Old Warsaw Rd, Warsaw, IL 62379-3001 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364176 | Jace Medical LLC | Durable Medical Equipment & Medical Supplies | 3516 Commerce Dr, Warsaw, IN 46580-3925 | 2020-10-23 |
| 1982202040 | Northern Neck Regional Special Education Program | Spec/Tech, Pathology | 6914 Richmond Rd, Warsaw, VA 22572-3547 | 2020-10-12 |
| 1013523588 | Amy Deion Stitt | Nurse Practitioner | 738 E 200 N, Warsaw, IN 46582-4658 | 2020-09-21 |
| 1689280695 | Nicole Leary | Community Health Worker | 20383 State Route 79, Warsaw, OH 43844-9774 | 2020-09-16 |
| 1871104794 | Legacy Family Chiropractic LLC | Chiropractor | 550 W 300 N, Warsaw, IN 46582-6940 | 2020-08-13 |
| 1437776796 | Brandi K Shepherd | Nurse Practitioner | 1315 Fisher Ave, Warsaw, IN 46580-4810 | 2020-07-02 |
| 1659990174 | Nicole Danielle Wallick | Counselor | 2194 N Pointe Dr, Warsaw, IN 46582-9043 | 2020-04-14 |
| 1710514450 | Chad Goon | Specialist/Technologist | 1216 Meadow Ln, Warsaw, IN 46580-4114 | 2020-03-24 |
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1376177212 | Sarah Lynn Stinson | Counselor | 1016 E Center St, Warsaw, IN 46580-3419 | 2020-03-01 |
| Find all providers in WARSAW | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776796 | Brandi K Shepherd | Nurse Practitioner | 1315 Fisher Ave, Warsaw, IN 46580-4810 | 2020-07-02 |
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1306275896 | Stephanie Wells | Nurse Practitioner | 1210 Provident Dr Ste B, Warsaw, IN 46580-3266 | 2013-11-05 |
| 1689820870 | Patricia L. Kinkead | Nurse Practitioner | 35391 Jackman Ave, Warsaw, MO 65355-6153 | 2008-08-07 |
| 1871537480 | Heather Joy Ward | Nurse Practitioner | 1500 Provident Drive, Ste A, Warsaw, IN 46580 | 2006-06-15 |
| 1821048117 | Vicky M. Beall | Nurse Practitioner | 302 W Main St, Warsaw, KY 41095-9304 | 2006-05-10 |
| 1699749523 | Carrie M Vangrol | Nurse Practitioner | 86 N Main St, Warsaw, NY 14569-1329 | 2006-02-15 |
| 1851902621 | Kristen M Bagot | Nurse Practitioner | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-08-13 |
| 1346878295 | Jacquelyn Janes | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-03-27 |
| 1184258782 | Michelle Mary Zeches O'neil | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-02-24 |
| Find all providers in WARSAW | ||||
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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.