KIMBERLY PHILLIPS (NPI# 1285157396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285157396 |
| Entity Type | Individual |
| Full Name | KIMBERLY PHILLIPS |
| Credential | FNP-BC |
| Practice Address |
8988 Fern Park Dr Burke VA 22015-1635 |
| Practice Telephone | 7039786061 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024175143 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316387764 | Kimberly Dawn Phillips | Nurse Practitioner | 1180 Glensboro Rd, Lawrenceburg, KY 40342-9034 | 2013-06-30 |
| 1225377906 | Kimberly Myers Phillips | Physical Therapist | 145 S Granados Ave, Solana Beach, CA 92075-2008 | 2013-01-31 |
| 1366754095 | Kimberly Ann Phillips | Behavioral Analyst | 1920 Thoreau Dr N Ste 180, Schaumburg, IL 60173-4151 | 2010-07-10 |
| 1699004135 | Kimberly Clark Phillips | Registered Nurse | 9464 Unionville Rd, Plain City, OH 43064-9734 | 2009-12-11 |
| 1790985547 | Kimberly Dawn Phillips | Occupational Therapist | 222 Leon Dr, Greenville, NC 27858-9745 | 2007-07-19 |
| 1245394071 | Kimberly Phillips | Social Worker | 416 Fairley St, Suite E, Laurinburg, NC 28352-3612 | 2006-12-19 |
| 1396855177 | Kimberly Dawn Phillips | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 700, Charleston, WV 25304-1230 | 2006-08-30 |
| 1790705937 | Kimberly Phillips | Nurse Practitioner | 1941 Johnson, Suite 301, San Luis Obispo, CA 93401-4175 | 2006-07-20 |
| 1497786933 | Kimberly Anne Phillips | Nurse Practitioner | 7670 W Sahara Ave Ste 2, Las Vegas, NV 89117-2751 | 2006-07-05 |
| 1457359192 | Kimberly Ann Phillips | Family Medicine | 1312 E Lumsden Rd, Brandon, FL 33511-6717 | 2005-07-07 |
| Street Address |
8988 FERN PARK DR |
| City | BURKE |
| State | VA |
| Zip Code | 22015-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619903325 | Balsamo Arnoldson & Rees PC | Pediatrics | 8988 Fern Park Dr, Burke, VA 22015 | 2006-06-24 |
| 1851901227 | Emily A Scott | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2020-07-31 |
| 1194333740 | Cassandra Lynn Wineland | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2020-07-20 |
| 1194355388 | Maryann Valcourt | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2020-01-16 |
| 1730744673 | Deniz Alkin Westbrook | Registered Nurse | 8988 Fern Park Dr, Burke, VA 22015 | 2019-05-07 |
| 1487124236 | Jessica Lynn Fiore | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2018-12-04 |
| 1154828150 | Kristy Lynn Diffley | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015 | 2018-04-07 |
| 1700231677 | Amanda Geary Sowers | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2016-04-28 |
| 1407212095 | Christy Kullman Russell | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2016-01-12 |
| 1598187700 | Sarah Snyder Bennett | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2014-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346876182 | Fereshteh Khodaei Shahrokhi | Social Worker | Lyngate Ct, Suite 200, Burke, VA 22015 | 2020-03-12 |
| 1255891594 | Dental Care Burke | Clinic/Center | 9239 Old Keene Road, Burke, VA 22015 | 2019-03-22 |
| 1659866846 | Yasamin Abbaszadeh Rasool | Dentist | 9006 Crownwood Ct, Unit A, Burke, VA 22015 | 2018-06-29 |
| 1407228463 | Burke Dental, Pllc | Dentist | 9006 Fern Park Dr., Suite A, Burke, VA 22015 | 2015-10-29 |
| 1255717575 | Chara Civitello | Occupational Therapist | 5804 Chase Commons Court Apt 207, Burke, VA 22015 | 2015-08-10 |
| 1235576745 | Pediatric Dentistry of Burke PC | Dentist | 5284 Lyngate Court, Burke, VA 22015 | 2013-05-24 |
| 1477801074 | Grace T Neria | Nutritionist | 9108 Lyon Park Court, Burke, VA 22015 | 2012-08-29 |
| 1467711366 | Julio A Dejo Md PC | Internal Medicine | 8998 Fern Park Dr., Burke, VA 22015 | 2012-05-11 |
| 1720373046 | Neelima Neelapala | Physical Therapist | 5982 Annaberg Pl, Burke, VA 22015 | 2011-06-15 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| Find all providers in zip 22015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093267429 | Nina Mai | Nurse Practitioner | 9409 Old Burke Lake Rd Ste B, Burke, VA 22015-3127 | 2016-11-02 |
| 1255883021 | Patience Youne Yengo | Nurse Practitioner | 9810 Lakepointe Dr, Burke, VA 22015-1822 | 2016-10-27 |
| 1659649655 | Mahawa Mbalu Kagbo | Nurse Practitioner | 5864 Wood Flower Ct, Burke, VA 22015-2713 | 2011-12-05 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| 1295901023 | Pamela A Fine | Nurse Practitioner | 9409b Old Burke Lake Rd, Burke, VA 22015-3127 | 2008-05-01 |
| 1356347496 | Debra K Leibel | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2005-06-23 |
| 1851901227 | Emily A Scott | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2020-07-31 |
| 1427698760 | Lindsay Gann Killick | Nurse Practitioner | 9409b Old Burke Lake Rd, Burke, VA 22015-3127 | 2020-01-15 |
| 1487124236 | Jessica Lynn Fiore | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2018-12-04 |
| 1295213908 | Grace Thapa | Nurse Practitioner | 9409 Old Burke Lake Rd Ste B, Burke, VA 22015-3127 | 2018-08-03 |
| Find all providers in BURKE | ||||
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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.