HEATHER ELIZABETH PHILLIPS (NPI# 1114530250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114530250 |
| Entity Type | Individual |
| Full Name | HEATHER ELIZABETH PHILLIPS |
| Credential | LPT |
| Practice Address |
4900 N Highway 99 Unit 68 Stockton CA 95212-1007 |
| Practice Telephone | 2098083284 |
| Mailing Telephone | 2098083284 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 41710 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602152 | Heather L Phillips | Massage Therapist | 3021 Regal Dr, Mcdonough, GA 30253-8609 | 2020-09-03 |
| 1144776766 | Heather Deaun Phillips | Peer Specialist | 1807 W Parkview Ave, Duncan, OK 73533-1711 | 2016-09-01 |
| 1205000700 | Heather A Phillips | Counselor | 3335 Ash Hopper Ln, Colorado Springs, CO 80906-6215 | 2008-04-15 |
| 1063420560 | Heather Ann Phillips | Counselor | 18 E Mechanic St, Shelbyville, IN 46176-1318 | 2006-08-03 |
| 1164448924 | Heather Renee Phillips | Optometrist | 1372 Ne 163rd St, North Miami Beach, FL 33162-4623 | 2006-07-14 |
| 1699375261 | Heather Lynn Phillips | Pharmacist | 5025 Winters Chapel Rd, Dunwoody, GA 30360-1700 | 2020-10-31 |
| 1306316336 | Heather Phillips | Social Worker | 221 Willow St, Yarmouth Port, MA 02675-1770 | 2018-12-03 |
| 1023499472 | Heather Phillips | Speech-Language Pathologist | 4 N Double Springs Rd, Farmington, AR 72730-2522 | 2015-06-11 |
| 1922499003 | Heather Phillips | Clinical Exercise Physiologist | 2045 Franklin St, Treadmill Department, Denver, CO 80205-5437 | 2015-02-11 |
| 1790101988 | Heather Anne Phillips | Case Manager/Care Coordinator | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2014-03-12 |
| Street Address |
4900 N HIGHWAY 99 UNIT 68 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| 1437560968 | Stephanie Lau | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-05-19 |
| Find all providers in zip 95212 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
| 1497167530 | Elizabeth Anne Degravio | Licensed Psychiatric Technician | 10904 Lands End Dr, Stockton, CA 95209-4289 | 2014-05-23 |
| 1801215082 | Ashlee Nicole Torres | Licensed Psychiatric Technician | 231 E Bianchi Rd, Stockton, CA 95207-7430 | 2014-04-15 |
| 1366884058 | Jill Siador | Licensed Psychiatric Technician | 3731 Carly Dr, Stockton, CA 95205-2589 | 2013-07-23 |
| 1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
| 1033485495 | Thuy Huynh | Licensed Psychiatric Technician | 4545 Georgetown Place Suite A3, Stockton, CA 95207 | 2012-03-29 |
| 1124232665 | Lyndsey Marie Socha | Licensed Psychiatric Technician | 1947 N California St Ste C, Stockton, CA 95204-6029 | 2007-05-10 |
| 1851515092 | Barbara Franklin | Licensed Psychiatric Technician | 4514 Mcgaw St Apt 2, Stockton, CA 95207-8119 | 2007-04-12 |
| 1881817567 | Dolfa Lirazan Magsayo | Licensed Psychiatric Technician | 3019 Fairbury Ln, Stockton, CA 95206-6031 | 2007-04-11 |
| Find all providers in STOCKTON | ||||
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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.