MARY JANE PHIPPS (NPI# 1396053484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396053484 |
| Entity Type | Individual |
| Full Name | MARY JANE PHIPPS |
| Credential | FNP |
| Practice Address |
202 Larry Joe Harless Dr Gilbert WV 25621 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3046646270 |
| Practice Fax Number | 3046646272 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245804 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
50819 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810021064 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 471 Main St, Madison, WV 251301223 | 3043695170 | 3043690946 |
| 5027 Helena Ave Ste 1, Delbarton, WV 256701301 | 3044751761 | 3044751762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558790691 | Mary Jane Phipps | Exclusive Provider Organization | 50 Wyntre Brooke Dr, York, PA 17403-4535 | 2013-11-08 |
| 1477867596 | Mary Catherine Phipps | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2010-07-30 |
| 1609063593 | Mary Jo Phipps | Marriage & Family Therapist | 769 W Blaine St Ste B, Riverside, CA 92507-3970 | 2007-09-25 |
| Street Address |
202 LARRY JOE HARLESS DR |
| City | GILBERT |
| State | WV |
| Zip Code | 25621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925487 | Lincoln County Primary Care Center Inc | Pharmacy | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2019-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730669524 | Williamson Health & Wellness Center Inc | Clinic/Center | 2475 Rte 52, Gilbert, WV 25621 | 2018-08-21 |
| 1265734347 | Larry Edward Cole | Dentist | Rt 52 Main Street, Gilbert, Gilbert, WV 25621 | 2010-11-23 |
| 1720206774 | Riverside Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 22 Larry Joe Harless, Gilbert, WV 25621 | 2007-04-23 |
| 1871719054 | Cameron Keith Hatfield | Pharmacist | 22 Larry Harless Drive, Gilbert, WV 25621 | 2007-04-17 |
| 1104042381 | Gary Lane Cunningham | Pharmacist | 22 Larry Joe Harless Dr., Gilbert, WV 25621 | 2007-04-17 |
| 1417022617 | Appalachian Rehab Centers, Inc. | Clinic/Center | 202 Larry Joe Harless Drive, Pob 1987, Gilbert, WV 25621 | 2006-11-22 |
| 1376572479 | Family Healthcare Associates Inc | Family Medicine | 6th Avenue & Vinus Street, Family Healthcare Associates Inc, Gilbert, WV 25621 | 2006-07-01 |
| 1225597628 | David Allen Hopkins II | Pharmacist | 292 Main Street, Gilbert, WV 25621 | 2019-03-15 |
| 1770009615 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 292 Main St, Gilbert, WV 25621 | 2017-08-22 |
| 1033502356 | Patrick Ryan Duty | Pharmacist | 292 Main Street, Gilbert, WV 25621 | 2015-03-11 |
| Find all providers in zip 25621 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1417562844 | Maribeth Kitma Odango | Nurse Practitioner | 3937 E Frances Ln, Gilbert, AZ 85295-2786 | 2020-09-11 |
| 1720698293 | Helene Elizalde | Nurse Practitioner | 1539 E Hummingbird Way, Gilbert, AZ 85297-4601 | 2020-08-08 |
| 1003425273 | Monica Hulsey | Nurse Practitioner | 471 N 159th Pl, Gilbert, AZ 85234-5040 | 2020-07-23 |
| 1801414883 | Scott Braverman | Nurse Practitioner | 225 E Germann Rd Ste 140, Gilbert, AZ 85297-2906 | 2020-07-07 |
| 1467078139 | Racquel Jillian Spyr | Nurse Practitioner | 837 S Parkcrest St, Gilbert, AZ 85296-8839 | 2020-06-18 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| Find all providers in GILBERT | ||||
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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.