STACY PHILLIPS (NPI# 1235446972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235446972 |
| Entity Type | Individual |
| Full Name | STACY PHILLIPS |
| Credential | RN |
| Practice Address |
2150 Corbin Ave New Britain CT 06053-2266 |
| Practice Telephone | 8608326248 |
| Mailing Telephone | 8608326248 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2012-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
075385 | CT | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
004501 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770121501 | Stacy Bush Phillips | Case Manager/Care Coordinator | 1501 Mill Race Dr, Salem, VA 24153-3137 | 2019-12-11 |
| 1770098394 | Stacy Phillips | Nutritionist | 571 Rockrose Ct, Incline Village, NV 89451-8300 | 2017-12-05 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1750577755 | Stacy Phillips | Licensed Practical Nurse | 129 E Columbine Rd, Wildwood Crest, NJ 08260-4133 | 2007-09-24 |
| 1558410282 | Stacy L Phillips | Psychologist | 111 Shoreham Way, Merrick, NY 11566-5030 | 2007-01-10 |
| 1962834994 | Stacy Lynn Phillips | Counselor | 1113 Murfreesboro Rd, Suite 319, Franklin, TN 37064-1306 | 2013-08-01 |
| 1639519689 | Stacy D Phillips Sr. | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2013-07-04 |
| 1194002758 | Stacy Phillips | Behavioral Analyst | 900 Nw 10th St, Oklahoma City, OK 73106-7220 | 2011-11-10 |
| 1730339862 | Stacy J Phillips | Specialist | 100 Groton Pkwy, Rochester, NY 14623 | 2008-09-25 |
| 1760566061 | Stacy D. Phillips | Optometrist | 11225 Nall Ave, Ste. 100, Leawood, KS 66211-1669 | 2006-10-24 |
| Street Address |
2150 CORBIN AVE |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06053-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114889 | Kevin J Felice | Psychiatry & Neurology | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2005-06-17 |
| 1982220398 | Sonia Ivelisse Bultron | Social Worker | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2020-06-22 |
| 1003430661 | Ruchi Chandrakant Rana | Speech-Language Pathologist | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2020-05-29 |
| 1356962682 | Rebecca Anne Shea | Speech-Language Pathologist | 2150 Corbin Ave, New Britain, CT 06053-2298 | 2020-04-28 |
| 1194297093 | Naomi Helene Turner | Nurse Practitioner | 2150 Corbin Ave, New Britain, CT 06053-2298 | 2018-12-18 |
| 1083111736 | Maryanne Maliglowka | Social Worker | 2150 Corbin Ave, New Britain, CT 06053-2298 | 2018-04-10 |
| 1144737628 | Quest Diagnostics LLC | Clinical Medical Laboratory | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2018-01-05 |
| 1659800555 | Kristina Dzwonchyk | Respiratory Therapist, Registered | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2017-06-06 |
| 1871020446 | Jacqueline Marie Wolski | Dietitian, Registered | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2017-05-15 |
| 1376078261 | Kristin Mooney | Social Worker | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2017-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316409402 | Diana Maria Roman | Social Worker | 75 North Moutain Rd., New Brtain, CT 06053 | 2019-04-05 |
| 1003388919 | Laura Elizabeth Gabriel | Nurse Practitioner | 370 Osgood Avenue, New Britain, CT 06053 | 2018-12-18 |
| 1487141610 | Avon Transportation LLC | Driver | 1265 Slater Rd, New Britain, CT 06053 | 2018-04-13 |
| 1629509484 | Beth Zagorski | Registered Nurse | 75 North Mountain Rd, New Britain, CT 06053 | 2017-03-23 |
| 1275085250 | Gabriela Rzemien | Dental Hygienist | 88 Laffayette Street, New Britain, CT 06053 | 2016-10-26 |
| 1295175222 | Christopher Michael Pinto | Counselor | 75 North Mountain Road, New Britain, CT 06053 | 2013-07-05 |
| 1538329578 | Stefan S Kachala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 183 N Mountain Rd Fl 2, New Britain, CT 06053 | 2008-06-12 |
| 1508042896 | Stanley Abraham John | Physical Therapist | Hfsc,2150 Corbin Ave, New Briatin, CT 06053 | 2008-01-16 |
| 1376723718 | American Current Care Pa PC | Clinic/Center | 972a West Main Street, New Britain, CT 06053 | 2007-11-13 |
| 1194923730 | Tricia Malinowski Lang | Counselor | 950 Slater Rd., New Britain, CT 06053 | 2007-07-05 |
| Find all providers in zip 06053 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417584459 | Valeria Renee St Laurent | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-03-26 |
| 1588180319 | Raymond Doyle | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2017-08-14 |
| 1316483431 | Jessica Grillo | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2017-01-12 |
| 1588091193 | James Robert Sullivan | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2013-09-27 |
| 1336448935 | Stacy Azeredo Pagliaruli | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2011-03-22 |
| 1386877355 | Jill Allison Stewart | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004469 | Joseph A Sarkis | Nurse Practitioner | 34 Blackwells Lndg, Brooklyn, CT 06234-2444 | 2020-05-15 |
| 1720543960 | Lia Sgambato | Nurse Practitioner | 263 Farmington Ave # 2875, Farmington, CT 06030-0001 | 2019-02-01 |
| 1588136295 | Tao Wang | Nurse Practitioner | 38 Michele Dr, Portland, CT 06480-1013 | 2018-12-19 |
| 1114417847 | Jennifer Lynn Trocola | Nurse Practitioner | 63 Myano Ln Apt 6, Stamford, CT 06902-4500 | 2018-05-17 |
| 1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
| 1639622962 | Joshua N Alderman | Nurse Practitioner | 353 Main St Ste 2, Manchester, CT 06040-4145 | 2016-08-03 |
| 1508224437 | Sheldon Leigh Stock | Nurse Practitioner | 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002-3077 | 2016-02-06 |
| 1548636673 | Cheryl Pappas | Nurse Practitioner | 111 Salem Tpke Ste 8, Norwich, CT 06360-7403 | 2015-08-12 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRITAIN |
| Zip Code | 06053 |
Please comment or provide details below to improve the information on STACY 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.