BREANNE MARIE PHILLIPS (NPI# 1144418054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144418054 |
| Entity Type | Individual |
| Full Name | BREANNE MARIE PHILLIPS |
| Credential | PA-C |
| Practice Address |
103 Spruce St Ste 201 Hawley PA 18428-1149 |
| Practice Telephone | 5703904545 |
| Practice Fax Number | 5703904546 |
| Mailing Telephone | 5703904545 |
| Mailing Fax Number | 5703904546 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00228600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053102 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
103 SPRUCE ST STE 201 |
| City | HAWLEY |
| State | PA |
| Zip Code | 18428-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932616356 | Erika Lynn Black | Nurse Practitioner | 103 Spruce St Ste 201, Hawley, PA 18428-1149 | 2018-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497225619 | Julia Catherine Blaskiewicz | Physical Medicine & Rehabilitation | 2489 Us 6 Greshams Landing, Hawley, PA 18428 | 2018-11-30 |
| 1881108033 | Susan Ratki, O.t., LLC | Occupational Therapist | 1313 Hemlock Farms, Hawley, PA 18428 | 2017-11-27 |
| 1932644960 | Anthony S. Diecidue P.C. | Optometrist | 2571 Rte 6, Suite 1, Hawley, PA 18428 | 2016-12-29 |
| 1134675739 | Lindsay Masker | Behavioral Analyst | 2858 Hemlock Farms, Lords Valley, PA 18428 | 2016-09-01 |
| 1700201787 | The Singer Group, LLC | Nurse Practitioner | 2489 Us Route 6, Hawley, PA 18428 | 2014-02-27 |
| 1376833343 | Shetaye Gulelat | Pharmacist | 667 Route 739, Hawley, PA 18428 | 2011-04-12 |
| 1679886261 | Eileen Riley | Social Worker | 110 Hemlock Farms Road, Lords Valley, PA 18428 | 2010-07-23 |
| 1689803181 | Frank Deluca | Psychologist | 134 Fetlock Drive, Lords Valley, PA 18428 | 2009-07-07 |
| 1902066996 | Kelly S Lawrence | Counselor | 8 Silk Mill Drive, Suite 201, Hawley, PA 18428 | 2008-06-12 |
| 1366613812 | Carl Dennis Muehlbauer | Pharmacist | Rt 6 590 Palmrya Township, Lake Regional Center, Hawley, PA 18428 | 2008-03-12 |
| Find all providers in zip 18428 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679599864 | Harold J Herbst | Physician Assistant | 1412 Main Street, Hawley, MN 56549 | 2006-07-14 |
| 1174761084 | Tabitha M Hass | Physician Assistant | 1412 Main Street, Hawley, MN 56549 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BREANNE MARIE PHILLIPS.
| 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.