LONNIE PHILLIPS


Address: 1521 Merrill Dr, Little Rock, AR 72211-1821
Phone: 5016668686

LONNIE PHILLIPS (NPI# 1053944504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053944504
Entity Type Individual
Full Name LONNIE PHILLIPS
Practice Address 1521 Merrill Dr
Little Rock
AR 72211-1821
Mailing Address Po Box 251970
Little Rock
AR 72225-1970
Practice Telephone 5016668686
Enumeration Date 2020-02-12
Last Update Date 2020-02-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1521 MERRILL DR
City LITTLE ROCK
State AR
Zip Code 72211-1821

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306089586 Karnilla Anne Schingoethe-lee Social Worker 1521 Merrill Dr, Little Rock, AR 72211-1821 2009-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760004618 Samantha Lenore Hilborn Behavior Technician 1525 Merrill Drive Suite 100, Little Rock, AR 72211 2020-05-14
1003437740 Centers for Youth and Families, Inc. Community/Behavioral Health 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 2020-05-05
1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
1457873127 Restore Hope Counseling Center, Pllc Counselor One Innwood Circle, Suite 201, Little Rock, AR 72211 2017-07-13
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
Find all providers in zip 72211

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164032702 Christopher Ray Rouse Peer Specialist 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 2020-08-07
1538709290 Kyle Ryan Keith Peer Specialist 25 Murphy Dr, Bella Vista, AR 72715-6913 2020-01-10
1588160634 Terri Lashun Butler Peer Specialist 15 Azalea Loop, Conway, AR 72032-8522 2018-04-05
1548652332 Jonathan Green Peer Specialist 710 Terry Ave, Springdale, AR 72764-6804 2015-03-03
1750994257 Laretta Machelle Solomon Peer Specialist 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 2020-08-25
1679127450 Donterries L Alexander Peer Specialist 2904 Arkansas Blvd, Texarkana, AR 71854-2536 2019-07-30
1437621018 Gary Wade Carter Peer Specialist 615 W Grand Ave, Hot Springs, AR 71901-3927 2018-12-20
1588032684 Michael William Jones Peer Specialist 1500 Dodson Ave, Fort Smith, AR 72901-5182 2015-09-04
1487993655 Judy Weaver Peer Specialist 350 Salem Rd Ste 1, Conway, AR 72034 2013-02-08
1386898765 Raymond Zachary Bates Peer Specialist 3111 S 70th St, Fort Smith, AR 72903-5017 2008-11-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City LITTLE ROCK
Zip Code 72211

Improve Information

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Dataset Information

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.

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