JACQUELINE PHILLIPS (NPI# 1073912895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073912895 |
| Entity Type | Individual |
| Full Name | JACQUELINE PHILLIPS |
| Credential | MS, ATC |
| Practice Address |
1216 Ordean Ct 170 Sports & Health Center Duluth MN 55812-3032 |
| Practice Telephone | 2187268415 |
| Mailing Telephone | 2187268415 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2284 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609269158 | Jacqueline Eileen Phillips | Nurse Practitioner | 1624 Library Ln Ste C, Minden, NV 89423-4476 | 2015-03-09 |
| 1396144598 | Jacqueline Phillips | Specialist/Technologist | 5485 Mcginnis Ct, Doylestown, PA 18902-1371 | 2014-08-14 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1356502710 | Jacqueline Goldsmith Phillips | Nurse Practitioner | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2008-06-18 |
| 1619525268 | Jacqueline Phillips | Registered Nurse | 2595 S Cimarron Rd Ste 107, Las Vegas, NV 89117-2697 | 2019-08-27 |
| 1053861344 | Jacqueline Joy Phillips | Specialist | 561 Route 9w, Piermont, NY 10968-1116 | 2016-10-11 |
| 1730532276 | Jacqueline Phillips | Pharmacist | 118 Choctaw Dr, Hendersonville, TN 37075-4642 | 2016-07-20 |
| 1356741706 | Jacqueline Elise Marie Phillips | Developmental Therapist | 500 Fairway Dr, Ste. 102, Deerfield Beach, FL 33441-1814 | 2014-09-03 |
| 1508107459 | Jacqueline Rene Phillips | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Suite 110, Las Vegas, NV 89128-0811 | 2013-03-01 |
| 1811204928 | Jacqueline Marie Phillips | Internal Medicine | 1533 S Brownlee Blvd, Ste 100, Corpus Christi, TX 78404-3131 | 2010-09-10 |
| Street Address |
1216 ORDEAN CT 170 SPORTS & HEALTH CENTER |
| City | DULUTH |
| State | MN |
| Zip Code | 55812-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962770032 | Susan Britton Hoppe | Specialist/Technologist | 1216 Ordean Ct, 170 Sports and Health Center, Duluth, MN 55812-3032 | 2011-12-05 |
| 1497157168 | Univeristy of Minnesota Duluth | Family Medicine | 1216 Ordean Ct, Duluth, MN 55812-3032 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
| 1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
| 1295134088 | Charla Buxbaum | Specialist/Technologist | 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 | 2014-08-18 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1003088543 | Arrowhead House Inc | Community Based Residential Treatment Facility, Mental Illness | 16 South 18th Avenue East, Duluth, MN 55812 | 2008-03-25 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1346328762 | Timothy Patrick Stratton | Pharmacist | 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 | 2006-11-02 |
| 1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
| 1063401297 | Clinton T Moen | Specialist | 2711 E 5th St, Duluth, MN 55812 | 2005-10-20 |
| 1124016563 | Christine Aas-larson | Nurse Practitioner | 1502 London Road, Suite 102, Duluth, MN 55812 | 2005-10-10 |
| Find all providers in zip 55812 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1952916793 | Megan Marie Hautajarvi | Specialist/Technologist | 2536 Peace Dr, Duluth, MN 55811-2971 | 2020-09-09 |
| 1699380519 | Kourtney Jean Palmi | Specialist/Technologist | 4922 Howard Gnesen Rd, Duluth, MN 55803-2710 | 2020-09-09 |
| 1144787375 | Andrew Eric Norris | Specialist/Technologist | 2316 W 9th St Apt 1, Duluth, MN 55806-1229 | 2019-02-24 |
| 1417445776 | Jacqueline Marie Schultz | Specialist/Technologist | 2231 W 3rd St Apt 5, Duluth, MN 55806-1946 | 2018-04-23 |
| 1003315425 | Nicole Breuer | Specialist/Technologist | 1200 Kenwood Ave # 1665, Duluth, MN 55811-4199 | 2018-02-12 |
| 1003329640 | Michelle Whitt | Specialist/Technologist | 607 Kenwood Ave Apt 108, Duluth, MN 55811-2181 | 2017-11-06 |
| 1083145577 | William John Jensen | Specialist/Technologist | 3820 London Rd Apt 204, Duluth, MN 55804-2235 | 2017-03-25 |
| 1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
| 1821544784 | Devin Zenner | Specialist/Technologist | 1012 East Second St Level 5, Duluth, MN 55805-2200 | 2016-08-31 |
| Find all providers in DULUTH | ||||
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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.