MS. SHANNON PHILLIPS (NPI# 1447607668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447607668 |
| Entity Type | Individual |
| Full Name | MS. SHANNON PHILLIPS |
| Other Name | MS. SHANNON-MARIE PHILLIPS |
| Practice Address |
10 Meadowbrook Rd Brockton MA 02301-7122 |
| Practice Telephone | 7742138337 |
| Mailing Telephone | 7742138337 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528531845 | Shannon Phillips | Technician | 215 Fitchburg St Sw, Palm Bay, FL 32908-1302 | 2019-01-09 |
| 1861962656 | Shannon Phillips | Speech-Language Pathologist | 2119 Pocomoke Beltway, Pocomoke City, MD 21851-3025 | 2018-12-05 |
| 1598268716 | Shannon Phillips | Nutritionist | 3687 E Geddes Ave, Centennial, CO 80122-2202 | 2018-03-14 |
| 1366864381 | Shannon Phillips | Rehabilitation Practitioner | 935 Cantabria Heights Ave, Las Vegas, NV 89183-4646 | 2014-01-10 |
| 1811969165 | Shannon E Phillips Jr. | Nurse Practitioner | 116 N. Houston St., Edgewood, TX 75117 | 2006-02-02 |
| 1134669401 | Shannon Phillips | Social Worker | 303 N Madison St, Corinth, MS 38834-5072 | 2017-03-06 |
| 1245696228 | Shannon Phillips | Nurse Practitioner | 1701 S Florissant Rd, Saint Louis, MO 63121-1131 | 2016-01-06 |
| 1679949648 | Shannon Phillips | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-08-13 |
| 1710258678 | Shannon Elizabeth Phillips | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2012-01-24 |
| 1952671927 | Shannon Phillips | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2012-01-09 |
| Street Address |
10 MEADOWBROOK RD |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053407429 | Timothy William Corliss | Social Worker | 10 Meadowbrook Rd, Brockton, MA 02301 | 2006-10-05 |
| 1346858347 | Kevin Alonzo Davis | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-16 |
| 1194333229 | Timothy Duncan Carmichael | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-15 |
| 1053939496 | Elaine Ruth Enos | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-13 |
| 1598387862 | William Perry Petitpas | Substance Abuse Rehabilitation Facility | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-05-10 |
| 1760003701 | Laurie Williams-pipkins | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-04-30 |
| 1780210278 | Tori-anne Charette-bjorkman | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-03-17 |
| 1265067557 | Tiffany Menard | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-03-06 |
| 1174163661 | Desteny M Mcsween | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-01-13 |
| 1043858129 | Bonita Carrasquillo | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053805762 | Latarsha Cottrell | Case Manager/Care Coordinator | 80 Pine Grove Dr, Brockton, MA 02301-1115 | 2018-06-16 |
| 1528591377 | Transforming Life's Challenges | Case Manager/Care Coordinator | 50 Lenox St, Brockton, MA 02301-3123 | 2017-04-08 |
| 1912322702 | Paul Edwards | Case Manager/Care Coordinator | 111 Hill St, Brockton, MA 02302-3256 | 2014-03-03 |
| 1316285323 | Alcidio Teodoro Correia | Case Manager/Care Coordinator | 15 Glenwood Sq, Brockton, MA 02301-3813 | 2013-01-25 |
| 1972859049 | Jennifer Colson | Case Manager/Care Coordinator | 56 Cherry St Fl 3, Brockton, MA 02301-2608 | 2012-07-26 |
| 1568724573 | Barbara A Owens | Case Manager/Care Coordinator | 222 Thatcher St, Brockton, MA 02302-3950 | 2012-06-14 |
| 1093080657 | Jessica Marie Dawn | Case Manager/Care Coordinator | 540 Crescent St, Brockton, MA 02302-3222 | 2012-03-15 |
| 1720372279 | Shanell Mowatt | Case Manager/Care Coordinator | 274 Ettrick St, Brockton, MA 02301 | 2011-06-01 |
| 1922332857 | Judith Marie Depasse | Case Manager/Care Coordinator | 127 Lisa Dr, Brockton, MA 02302-1125 | 2009-09-24 |
| 1033312384 | Lindsay Amanda Hovis | Case Manager/Care Coordinator | 56 Cherry St, Brockton, MA 02301-2608 | 2007-06-06 |
| Find all providers in BROCKTON | ||||
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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.