MR. MONELL PHILLIPS (NPI# 1093068504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093068504 |
| Entity Type | Individual |
| Full Name | MR. MONELL PHILLIPS |
| Practice Address |
1850 S Deleon Ave Titusville FL 32780-7733 |
| Practice Telephone | 3212645000 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | FL | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001165600 | 05 |
| Street Address |
1850 S DELEON AVE |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32780-7733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942369277 | The Devereux Foundation | Clinic/Center | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2006-12-06 |
| 1558960369 | Jataeva Janay Arnold | Counselor | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2020-10-22 |
| 1770137184 | Ashley Eckler Wilms | Counselor | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2019-07-25 |
| 1093231599 | Heather Ashley Rohaus | Counselor | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2017-08-16 |
| 1336582469 | Country Acres Ch | Psychiatric Residential Treatment Facility | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-04-08 |
| 1841530599 | Darryl D Nugent Jr. | Behavioral Analyst | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-02-17 |
| 1922348671 | Darin Lee Williams | Behavioral Analyst | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-02-17 |
| 1134468986 | Annette Stewart | Community Health Worker | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-02-13 |
| 1780922724 | Zsa Zsa Bratt | Community Health Worker | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-01-25 |
| 1174867238 | Leon Brown | Community Health Worker | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400207 | Elizabeth Hardin | Chiropractor | Florida Sports and Spinal Rehab, 3910 S. Washington Ave., Titusville, FL 32780 | 2020-06-01 |
| 1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
| 1427566819 | Marlene Joyce Rosenzweig | Home Health | 1415 Thornton Avenue, Titusville, FL 32780 | 2018-01-19 |
| 1962913681 | Medfast Urgent Care Center, LLC | Clinic/Center | 1840 South Washington Ave, Titusville, FL 32780 | 2017-10-20 |
| 1982122586 | Annie Durand | Physical Therapist | 4352 Derbyshire Drive, Titusville, FL 32780 | 2017-09-03 |
| 1205352341 | Hearing Healthcare Solutions, Inc. | Hearing Instrument Specialist | 2625 Barna Ave, Suite J, Titusville, FL 32780 | 2017-08-21 |
| 1134663669 | Laura Starks | Behavior Technician | 1000 Tree Lane Apt H, Titusville, FL 32780 | 2016-12-19 |
| 1235500471 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3135 Columbia Blvd, Suite 100, Titusville, FL 32780 | 2015-10-14 |
| 1174994412 | Amanda Howell | Counselor | 5280 Watermill Lane Apt 305, Titusville, FL 32780 | 2015-10-13 |
| 1609267939 | Bykota Acupuncture | Acupuncturist | 1007 South Washington Ave, Titusville, FL 32780 | 2015-02-09 |
| Find all providers in zip 32780 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366930588 | Ebony C Morgan | Technician, Other | 2073 Garden St, Titusville, FL 32796-3243 | 2018-04-23 |
| 1174873137 | Brenda Walker | Technician, Other | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340479 | Jeanine Davis | Technician, Other | 3540 Nw 8th St, Lauderhill, FL 33311-6416 | 2020-09-14 |
| 1376158188 | Michael Blake Atlas | Technician, Other | 1242 Ginger Cir, Weston, FL 33326-3627 | 2020-09-09 |
| 1104439579 | Amaury Li | Technician, Other | 265 Highgate Park Blvd, Davenport, FL 33897-7732 | 2020-08-26 |
| 1831709864 | Odayme Sanchez | Technician, Other | 11520 Sw 57th Ter, Miami, FL 33173-1012 | 2020-08-04 |
| 1700496106 | Ilia De Los Angeles Diaz Moure | Technician, Other | 4705 Nw 7th St Apt 305-7, Miami, FL 33126-2259 | 2020-07-31 |
| 1619585932 | Skyler Mebane | Technician, Other | 1818 S Australian Ave Ste 240, West Palm Beach, FL 33409-6452 | 2020-07-22 |
| 1568092112 | Charity Marie Majors | Technician, Other | 714 Venetian Way, Panama City, FL 32405-7502 | 2020-01-23 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1225675226 | Mended Minds Corp. | Technician, Other | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2019-12-09 |
| 1558906206 | Jennifer Cornelius | Technician, Other | 26 Sw 7th Ave, Dania, FL 33004-3215 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | TITUSVILLE |
| Zip Code | 32780 |
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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.