TRUDY MARIE-VIOLA PHILLIPS (NPI# 1487101101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487101101 |
| Entity Type | Individual |
| Full Name | TRUDY MARIE-VIOLA PHILLIPS |
| Credential | NPP |
| Practice Address |
118 Broad St Glens Falls NY 12801-4348 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5187922223 |
| Practice Fax Number | 5186362077 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5188242388 |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F402376 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
118 BROAD ST |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811367170 | Hudson Headwaters Health Network | Clinic/Center | 118 Broad St, Glens Falls, NY 12801-4348 | 2015-09-30 |
| 1275551392 | Katy L Fuller | Social Worker | 118 Broad St, Glens Falls, NY 12801-4348 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619454592 | Cecilia D Hayes | Nurse Practitioner | 100 Park St, Glens Falls, NY 12801-4447 | 2018-07-24 |
| 1356827513 | Courtney Hafner | Nurse Practitioner | 100 Park St, Glens Falls, NY 12801 | 2018-07-11 |
| 1922590348 | Amanda Marie Bernard | Nurse Practitioner | 100 Park St, Glens Falls, NY 12801-4447 | 2018-06-01 |
| 1831440684 | Victoria M Vanscoy-mcallister | Nurse Practitioner | 420 Glen St, Glens Falls, NY 12801-2929 | 2012-09-19 |
| 1700033982 | Harry A Hill | Nurse Practitioner | 100 Park Street, Glens Falls Hospital Behavioral Health Adult Outpatient, Glens Falls, NY 12801 | 2008-08-19 |
| 1215155338 | Lauren E Ellis | Nurse Practitioner | 100 Park St, Glens Falls, NY 12801-4413 | 2007-04-23 |
| 1235290016 | Jennifer Rebecca Breeyear | Nurse Practitioner | 100 Park St, Glens Falls Hospital- Bhs, Glens Falls, NY 12801-4413 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
Please comment or provide details below to improve the information on TRUDY MARIE-VIOLA 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.