PHYLLIS CUNNINGHAM (NPI# 1174172605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174172605 |
| Entity Type | Individual |
| Full Name | PHYLLIS CUNNINGHAM |
| Practice Address |
603 2nd Ave C Silvis IL 61282 |
| Practice Telephone | 3097984894 |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2019-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821454836 | Phyllis Cunningham | Social Worker | 3604 Canal St, New Orleans, LA 70119-6111 | 2016-01-06 |
| 1528466315 | Phyllis Ann Cunningham | Behavioral Analyst | 6 Southside Rd, Danvers, MA 01923-1409 | 2014-12-11 |
| Street Address |
603 2ND AVE C |
| City | SILVIS |
| State | IL |
| Zip Code | 61282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710369400 | Krystle Lee Hergert | Dietitian, Registered | 2001 5th Street, Silvis, IL 61282 | 2015-06-18 |
| 1558549469 | Bobb Chiropractic Center P.C. | Chiropractor | 813 1st Avenue, Silvis, IL 61282 | 2008-02-01 |
| 1952509846 | Jennifer Marie Jensen | Pharmacist | 1601 18th St, Silvis, IL 61282 | 2007-07-03 |
| 1871516781 | Joseph R Yates | Emergency Medicine | 801 Illini Drive, Silvis, IL 61282 | 2006-07-25 |
| 1376581447 | Holly S Wilkinson | Physical Therapist | 902 Illini Drive, Silvis, IL 61282 | 2006-06-02 |
| 1831145507 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1312 John Deere Expy, Silvis, IL 61282 | 2006-05-25 |
| 1194326017 | Paul Garner | Pharmacist | 2001 5th St, Silvis, IL 61282 | 2020-11-06 |
| 1366043291 | Karen Marie Garner | Pharmacist | 2001 5th Street, Silvis, IL 61282 | 2020-11-06 |
| 1659865848 | Njl Chiropractic | Clinic/Center | 813 1st Ave, Silvis, IL 61282 | 2018-06-20 |
| 1376922930 | Muhammad Kumail Shah | Family Medicine | 801 Illini Dr, Silvis, IL 61282 | 2015-05-28 |
| Find all providers in zip 61282 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618339 | Rockin The Spectrum | Technician | 425 Lake St, Antioch, IL 60002-1464 | 2020-08-01 |
| 1902447204 | Reilly Crofton | Technician | 210 W Hughes St, Franklin Grove, IL 61031-9450 | 2019-10-08 |
| 1124669825 | Logan Kozi | Technician | 1951 Ramada Blvd Apt 7, Collinsville, IL 62234-6214 | 2019-10-03 |
| 1417456450 | Latoya Denise Davis | Technician | 8739 S Racine Ave, Chicago, IL 60620-3479 | 2018-02-05 |
| 1841749694 | Janet Lee | Technician | 209 Circle Dr, Herrin, IL 62948-4303 | 2016-09-21 |
| 1700118643 | Alberto Quiroz | Technician | 2100 S 58th Ave, Cicero, IL 60804-2115 | 2010-02-03 |
| 1225250558 | D Suzanne Mcclure | Technician | 903 South First Street, Apartment 122, Champaign, IL 61820-6086 | 2007-05-03 |
| 1104049691 | Sandra Lea Henderson | Technician | 205 N Wisconsin Avenue, Villa Park, IL 60181-2034 | 2007-04-11 |
| 1164567962 | Rose Ann Schneider | Technician | 603 N Prospect St, 114, Cambridge, IL 61238-1049 | 2007-02-20 |
| 1710919279 | Darlito Alava Ordonez | Technician | 9136b Waukegan Rd, Morton Grove, IL 60053-2119 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
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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.