CURTIS PHILLIPS (NPI# 1174044929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174044929 |
| Entity Type | Individual |
| Full Name | CURTIS PHILLIPS |
| Practice Address |
216 W Maloney Ave Gallup NM 87301-8730 |
| Mailing Address |
216 W Maloney Ave Gallup NM 87301-5214 |
| Practice Telephone | 5058701483 |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2017-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126576 | Curtis Alan Phillips | Family Medicine | 428 S Wilson St, Vinita, OK 74301-4246 | 2005-06-30 |
| 1811285737 | Curtis Phillips | Psychiatry & Neurology | 10301 Hagen Ranch Road, Suite B6, Boynton Beach, FL 33437-3723 | 2011-07-12 |
| Street Address |
216 W MALONEY AVE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-8730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306279559 | Clarence Aaron Enos | Social Worker | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2013-08-12 |
| 1184124133 | Alta Mitchell | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2018-02-16 |
| 1811417751 | Bernie Montano | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2017-06-21 |
| 1306296116 | Gabriel Joseph Kanawite Sr. | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2016-06-13 |
| 1285088963 | Hozho Center for Personal Enhancement | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2016-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972785962 | Department of Behavioral Health Services | Counselor | 911 College Drive, Building F-room 12, Gallup, NM 87305-3729 | 2007-11-30 |
| 1417160987 | William Clay Pearson | Counselor | 211 W Mesa Ave, Suite #4, Gallup, NM 87301-6382 | 2007-05-08 |
| 1912531963 | Consuelo Christina Smith | Counselor | 650 Vandenbosch Pkwy, Gallup, NM 87301-5508 | 2020-02-28 |
| 1184124133 | Alta Mitchell | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2018-02-16 |
| 1811417751 | Bernie Montano | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2017-06-21 |
| 1285088963 | Hozho Center for Personal Enhancement | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2016-04-19 |
| 1538570346 | Erika S Baxter | Counselor | 1919 College Dr, Gallup, NM 87301-7010 | 2014-05-14 |
| 1316370505 | Louise L Mariano | Counselor | 300 W Nizhoni Blvd Ste A, Gallup, NM 87301-5766 | 2013-08-12 |
| 1841540770 | Emma Joan Bartlett | Counselor | 2025 E Aztec Ave, Gallup, NM 87301 | 2012-09-18 |
| 1891087649 | Elderick E Morris | Counselor | 300 W Nizhoni Blvd Ste A, Gallup, NM 87301-5766 | 2011-05-12 |
| Find all providers in GALLUP | ||||
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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.