KATHLEEN PHILLIPS (NPI# 1497099667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497099667 |
| Entity Type | Individual |
| Full Name | KATHLEEN PHILLIPS |
| Credential | N.P. |
| Practice Address |
17717 Masonic Fraser MI 48026-3158 |
| Practice Telephone | 5862940600 |
| Practice Fax Number | 5862942525 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704177732 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861927527 | Kathleen Phillips | Ophthalmology | 424 Ne 7th Ave, Ft Lauderdale, FL 33301-1208 | 2017-05-01 |
| 1780087916 | Kathleen Phillips | Speech-Language Pathologist | 711 Fess Street, Zanesville, OH 43701 | 2014-10-02 |
| 1205252921 | Kathleen Phillips | Massage Therapist | 5850 County Rd., Tipp City, OH 45371 | 2014-03-06 |
| 1467733667 | Kathleen Elaine Phillips | Speech-Language Pathologist | 1218 Sw 14th Ct, Gresham, OR 97080-9620 | 2011-08-31 |
| 1174704431 | Kathleen Phillips | Speech-Language Pathologist | 3126 E Valley Water Mill Rd, Apt 4804, Springfield, MO 65803-4908 | 2007-11-15 |
| 1114494184 | Kathleen Phillips | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2018-10-29 |
| 1124510342 | Kathleen Phillips | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2018-06-04 |
| 1639681901 | Kathleen Elizabeth Phillips | Case Manager/Care Coordinator | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2017-10-26 |
| 1871033662 | Kathleen Phillips | Marriage & Family Therapist | 5 Lane Ln, Sheridan, WY 82801-8630 | 2017-02-28 |
| 1689095846 | Kathleen Phillips | Specialist | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2013-12-13 |
| Street Address |
17717 MASONIC |
| City | FRASER |
| State | MI |
| Zip Code | 48026-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614333 | Ross Heller | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2005-07-28 |
| 1952792376 | Chelsea House | Nurse Practitioner | 17717 Masonic, Fraser, MI 48026-3158 | 2015-02-06 |
| 1548695398 | Kendall Hassig | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2013-09-12 |
| 1346674355 | Lauren Asmer | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2013-08-27 |
| 1902157472 | Alyssa Caramagno | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-09-25 |
| 1295082097 | Brittnay L Thurston | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-08-10 |
| 1760746978 | Lindsay Goodell | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2012-07-02 |
| 1811254634 | Nikole L. Maddes | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-04-18 |
| 1073896346 | Simon Katrib | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2011-09-23 |
| 1578845459 | Rhett Brandenburg | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1215406624 | Fraser Rx Pharmacy LLC | Pharmacy | 16861 E 14 Mile Rd., Fraser, MI 48026 | 2018-11-14 |
| 1457507519 | Michael Richard Abood | Dentist | 16128 15 Mile, Suite 4, Fraser, MI 48026 | 2008-08-08 |
| 1316095342 | Martha Sue Vaneenenaam-iwanicki | Specialist/Technologist | Fraser High School, 34270 Garfield, Fraser, MI 48026 | 2007-01-08 |
| 1962578674 | David Henry Luehmann | Dentist | 32245 Utica Rd, Fraser, MI 48026 | 2006-11-27 |
| 1447326244 | Fraser Optical Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 32925 Groesbeck Highway, Fraser, MI 48026 | 2006-11-27 |
| 1699849885 | Luis Collazo | Family Medicine | 31022 Utica Rd., Fraser, MI 48026 | 2006-11-20 |
| 1780753467 | Leigh Ellen Snyder | Dentist | 16869 Fourteen Mile Rd, Fraser, MI 48026 | 2006-11-07 |
| 1942379631 | Bernadette Olameitan Osowa | Dentist | 16869 Fourteen Mile Road, Fraser, MI 48026 | 2006-11-07 |
| 1104920446 | Select Dental PC | Dentist | 16128 15 Mile Road, Suite 4, Fraser, MI 48026 | 2006-09-08 |
| Find all providers in zip 48026 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952792376 | Chelsea House | Nurse Practitioner | 17717 Masonic, Fraser, MI 48026-3158 | 2015-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
| 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.