MICHELLE ANN PHILLIPS (NPI# 1447457387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447457387 |
| Entity Type | Individual |
| Full Name | MICHELLE ANN PHILLIPS |
| Credential | ARNP |
| Practice Address |
1660 Delaware St Longview WA 98632-2310 |
| Mailing Address |
Po Box 3002 Longview WA 98632-0302 |
| Practice Telephone | 3604142800 |
| Practice Fax Number | 3604142803 |
| Mailing Telephone | 3604142800 |
| Mailing Fax Number | 3604142803 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00168417 | WA | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | AP30007727 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP30007727 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE RN LICENSE | RN00168417 | 01 |
| WA | LABOR & INDUSTRIES | 0224120 | 01 |
| WA | 9653718 | 05 | |
| WA | WA STATE ARNP LICENSE | AP30007727 | 01 |
| WA | CRIME VICTIMS | 8945279 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356717177 | Michelle Phillips | Licensed Practical Nurse | 21219 Kenyon Dr, Maple Heights, OH 44137-2450 | 2015-08-16 |
| 1790022820 | Michelle Marie Phillips | Counselor | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2013-01-09 |
| 1063722585 | Michelle Evans Phillips | Nurse Practitioner | 116 Shirley Ln, Boiling Springs, PA 17007-9593 | 2010-10-18 |
| 1437328978 | Michelle Archer Phillips | Marriage & Family Therapist | 333 Fairhaven Ct, Newbury Park, CA 91320-5021 | 2008-02-28 |
| 1134313018 | Michelle Ann Phillips | Dietitian, Registered | 222 Pone Ln, Franklin, PA 16323-3542 | 2007-09-04 |
| 1376696948 | Michelle Marie Phillips | Physical Therapist | 1521 E Costilla Ave, Centennial, CO 80122-1381 | 2007-01-18 |
| 1891876108 | Michelle V. Phillips | Dentist | 3 Eaglet Ct, Pleasanton, CA 94566-6974 | 2006-10-17 |
| 1518519511 | Michelle R Phillips | Nurse Practitioner | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2019-07-10 |
| 1376007427 | Michelle Phillips | Nurse Practitioner | 211 Crawford Memorial Dr, Van Buren, AR 72956-5322 | 2019-01-23 |
| 1265930259 | Michelle Phillips | Counselor | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2018-01-25 |
| Street Address |
1660 DELAWARE ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742540 | Maria P. Magnuson | Specialist | 1660 Delaware St, Peacehealth Women's Health Pavilion, Longview, WA 98632-2310 | 2005-07-01 |
| 1821338591 | Heather Elizabeth Ross Blackford | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2013-02-18 |
| 1548527369 | Gretchen Blue Schwinn | Advanced Practice Midwife | 1660 Delaware St, Longview, WA 98632-2310 | 2012-04-18 |
| 1871809194 | J'aime Ellen Graff | Health Educator | 1660 Delaware St, Longview, WA 98632-2310 | 2010-08-24 |
| 1508000563 | Laura Elise Loffredo | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2009-04-21 |
| 1124297205 | Peacehealth | Durable Medical Equipment & Medical Supplies | 1660 Delaware St, Longview, WA 98632-2310 | 2008-02-22 |
| 1225157225 | Clarissa Justine Weiss | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2007-03-29 |
| 1124185665 | Saeyeal Lee | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2007-01-03 |
| 1720166879 | Robert Cojuangco Cruz IIi | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2006-11-02 |
| 1225022270 | Victoria A Rice | Registered Nurse | 1660 Delaware St, Longview, WA 98632-2310 | 2005-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784838 | Jennifer Nicole Skiles | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-05-08 |
| 1104328947 | Laura Childress | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-03-07 |
| 1487089108 | Sarah E Gough | Nurse Practitioner | 802 Medical Circle, Suite 100, Longview, TX 75605-5100 | 2013-09-12 |
| 1790051548 | Wendy Mckinnon | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2012-03-27 |
| 1780987289 | Margaret M Dodson | Nurse Practitioner | 410 N 4th St, Longview, TX 75601-6511 | 2010-12-06 |
| 1346556420 | Patricia Brooke Simmons | Nurse Practitioner | 705 E Marshall Ave, Suite 3000, Longview, TX 75601-5573 | 2010-08-26 |
| 1801100201 | Kathleen Anne Wirtz | Nurse Practitioner | 1655 Hudson St Ste 1, Longview, WA 98632-2949 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190835 | Women's Mobile Medical. LLC | Nurse Practitioner | 701 E 49th St, Tacoma, WA 98404-2025 | 2020-10-02 |
| 1992323018 | Megan Louise Bedker | Nurse Practitioner | 3003 80th Ave Se, Mercer Island, WA 98040-2915 | 2020-07-07 |
| 1114557196 | Scarlett Owen Duncan | Nurse Practitioner | 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 | 2020-01-18 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1174008106 | Nicole Ann Bazzetta | Nurse Practitioner | 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 | 2018-09-25 |
| 1174000178 | Emily K Ernst | Nurse Practitioner | 4525 S 19th St, Tacoma, WA 98405-1106 | 2018-07-23 |
| 1770079493 | Erica Lauren Nunez | Nurse Practitioner | 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 | 2018-07-05 |
| 1659881001 | Kathryn Conkling | Nurse Practitioner | 10210 State Ave, Marysville, WA 98271-7214 | 2017-10-11 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| 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.