STACEY JO PHILLIPS (NPI# 1083912653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083912653 |
| Entity Type | Individual |
| Full Name | STACEY JO PHILLIPS |
| Practice Address |
5965 S 900 E Salt Lake City UT 84121-1720 |
| Practice Telephone | 8012637100 |
| Mailing Telephone | 8012637100 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051256 | Stacey L Phillips | Early Intervention Provider Agency | 185 Bronx River Rd, 4p, Yonkers, NY 10704-3752 | 2017-02-07 |
| 1730237926 | Stacey Marie Phillips | Speech-Language Pathologist | 1604 W Cullom Ave, Apt #2wc, Chicago, IL 60613-1255 | 2007-01-06 |
| 1679950877 | Stacey Phillips | Social Worker | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2015-04-27 |
| 1801237888 | Stacey Ann Marie Phillips | Licensed Practical Nurse | 40700 California Oaks Rd, Suite 202, Murrieta, CA 92562-5795 | 2013-07-08 |
| 1053558494 | Stacey Michele Phillips | Physical Therapist | 46 W Colt Square Dr, Fayetteville, AR 72703-2813 | 2009-01-07 |
| 1710136718 | Stacey Lynn Phillips | Nurse Practitioner | 25 Woodbridge Rd, Suite A, Somerville, TN 38068-1242 | 2008-09-15 |
| Street Address |
5965 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745301 | Debra Lynn Falvo | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2005-10-24 |
| 1376908087 | Alyssa Milne | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-12-22 |
| 1053776138 | Rachel Feinberg | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-12-16 |
| 1174997894 | April Madsen | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-18 |
| 1639542608 | Lauren Carah Christensen | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-12 |
| 1154794725 | Claire Nitz | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-04 |
| 1063884427 | Jannah Lee Faumuina | Social Worker | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-26 |
| 1215309901 | Joni Whitaker | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-21 |
| 1295107076 | Anisa Plastow | Social Worker | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-20 |
| 1891166658 | Jennifer Wallace | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1326652116 | Brenna Colleen Ball | Case Manager/Care Coordinator | 671 N Oakley St, Salt Lake City, UT 84116-3833 | 2020-08-31 |
| 1437761368 | Tonia Price | Case Manager/Care Coordinator | 625 S 200 E, Salt Lake City, UT 84111-3801 | 2020-08-21 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1619502374 | Bradford Nielson | Case Manager/Care Coordinator | 344 E 100 S # B, Salt Lake City, UT 84111-1700 | 2020-03-03 |
| 1225662521 | Rob Lequia | Case Manager/Care Coordinator | 344 E 100 S # 344e100s, Salt Lake City, UT 84111-1700 | 2020-02-25 |
| 1154970507 | Lori Cerar | Case Manager/Care Coordinator | 230 W 200 S Ste 142, Salt Lake City, UT 84101-1337 | 2019-09-09 |
| 1457907776 | Christina Lee Oppenheimer | Case Manager/Care Coordinator | 230 W 200 S # 142, Salt Lake City, UT 84101-1337 | 2019-08-13 |
| 1184196230 | Roselia Yanella Chavez | Case Manager/Care Coordinator | 1233 W 700 S, Salt Lake City, UT 84104-2657 | 2018-12-28 |
| 1588149132 | Madeleine Smith | Case Manager/Care Coordinator | 344 E 1st S, Salt Lake City, UT 84111-1700 | 2018-09-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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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.