SUSAN MOORE PHILLIPS (NPI# 1487978995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487978995 |
| Entity Type | Individual |
| Full Name | SUSAN MOORE PHILLIPS |
| Credential | RN |
| Practice Address |
103 Stateside Dr Jonesborough TN 37659-6837 |
| Practice Telephone | 4237535896 |
| Mailing Telephone | 4237535896 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
132697 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857768 | Susan Davis Phillips | Speech-Language Pathologist | 519 Latham Dr Fl 2, Lowell, AR 72745-8360 | 2020-10-08 |
| 1255946521 | Susan Marie Phillips | Home Health Aide | 6409 Stapleton Ct, Fairfield Township, OH 45011-6459 | 2020-09-13 |
| 1720584568 | Susan Phillips | Nurse Practitioner | 205 Smith Rd Ste D, Hope, AR 71801-8971 | 2018-04-02 |
| 1023452133 | Susan Alexis Phillips | Speech-Language Pathologist | 201 Meadow Spring Rd, Greensburg, PA 15601-6936 | 2013-04-18 |
| 1831464114 | Susan M Phillips | Massage Therapist | Deruyter Rd, South Otselic, NY 13155-0241 | 2012-03-20 |
| 1184920746 | Susan Meehleis Phillips | Marriage & Family Therapist | 464 E E Street, Benicia, CA 94510-3288 | 2011-01-31 |
| 1467681650 | Susan L Phillips | Occupational Therapy Assistant | 4438 Withrowwood Ct, Orlando, FL 32837-5506 | 2009-07-08 |
| 1235384223 | Susan Lee Phillips | Dietitian, Registered | 6 Jodi Ct, Glen Cove, NY 11542-1479 | 2008-11-18 |
| 1831391275 | Susan L. Phillips | Acupuncturist | 3383 Mariner Blvd, Spring Hill, FL 34609-2461 | 2007-06-05 |
| 1912108861 | Susan J. Phillips | Speech-Language Pathologist | 617 Bitner Rd, Dunbar, PA 15431-2259 | 2007-05-29 |
| Street Address |
103 STATESIDE DR |
| City | JONESBOROUGH |
| State | TN |
| Zip Code | 37659-6837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777669 | Megan Gilchrist | Pharmacist | 22 New Halifax St, Jonesborough, TN 37659 | 2020-07-15 |
| 1316414337 | Anna Brazell | Radiology | Lamont St and Veterans Way, Johnson City, TN 37659 | 2018-10-29 |
| 1952785081 | East Tennessee State University | Nurse Practitioner | 3261 Tn 81, Jonesborough, TN 37659 | 2015-07-18 |
| 1487907564 | Ashley Nugent Charfauros | Pharmacist | 1200 W. Jackson Blvd., Jonesborough, TN 37659 | 2012-10-26 |
| 1770871022 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 531 E Jackson Blvd, Jonesborough, TN 37659 | 2011-07-20 |
| 1548465784 | Cradic Chiropractic Center | Chiropractor | 206 Headtown Rd Suite 100, Jonesborough, TN 37659 | 2007-06-18 |
| 1265517197 | Jennie L. Walls | Nurse Practitioner | David Crockett High School Health Clinic, 684 Old State Route 34, Jonesborough, TN 37659 | 2006-10-26 |
| 1942262167 | Kenneth Weaver | Obstetrics & Gynecology | 1103 E Jackson Blvd, Ste 1, Jonesborough, TN 37659 | 2006-04-04 |
| 1326534082 | Hannah Ridley | Behavioral Analyst | 1015 Borowood Ct, Jonesborough, TN 37659 | 2018-07-06 |
| 1376044552 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 600 Boones Creek Rd, Jonesborough, TN 37659 | 2018-02-23 |
| Find all providers in zip 37659 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123632 | Mary Chantay Mitchell | Registered Nurse | 3342 Caribou Dr, Memphis, TN 38115-3006 | 2020-10-26 |
| 1275151557 | Ashley Haun | Registered Nurse | 1620 Gail St, Loudon, TN 37774-4821 | 2020-07-13 |
| 1437773397 | Tanya D Jones | Registered Nurse | 4932 Baywood Dr, Millington, TN 38053-3963 | 2020-06-05 |
| 1144713728 | Jacquelyn Rose Baker | Registered Nurse | 240 Medical Park Blvd Ste 3700, Bristol, TN 37620-7350 | 2018-06-08 |
| 1912496738 | People's Choice Clinic, LLC | Registered Nurse | 2516 Pulaski Hwy, Columbia, TN 38401-5753 | 2018-05-07 |
| 1427578830 | Patricia Ann Pritchett | Registered Nurse | 8626 Sunpoint Rd, Knoxville, TN 37923-1685 | 2017-06-27 |
| 1073047189 | Becky Bruce | Registered Nurse | 1720 Woodlawn Ave Ste 1, Dyersburg, TN 38024-1300 | 2017-04-14 |
| 1952704801 | Complete Hedalth Care Center | Registered Nurse | 1750 Madison Ave.ste 401, Complete Health Care Center, Memphis, TN 38104 | 2014-10-07 |
| 1831508027 | Lenita W. Powers | Registered Nurse | 120 Bavarian Dr, Henderson, TN 38340-4394 | 2014-08-13 |
| 1396083432 | Maame Amankwah | Registered Nurse | 1080 Blairfied Drive, Antioch, TN 37013 | 2013-01-24 |
| Find all providers with the same taxonomy | ||||
| City | JONESBOROUGH |
| Zip Code | 37659 |
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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.