MISS KIMBERLY ANNE PHILLIPS (NPI# 1497786933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497786933 |
Entity Type | Individual |
Full Name | MISS KIMBERLY ANNE PHILLIPS |
Credential | NURSE PRACTITIONER |
Practice Address |
7670 W Sahara Ave Ste 2 Las Vegas NV 89117-2751 |
Practice Telephone | 7024577400 |
Practice Fax Number | 7024577401 |
Mailing Telephone | 7024577400 |
Mailing Fax Number | 7024577401 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-04-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN001449 | NV | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3515178900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3515174405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NATIONAL DEA | MP1302330 | 01 | |
NV | 1497786933 | 05 | |
UT | APRN | 351517-4405 | 01 |
NV | NEVADA PHARMACY LICENSE | CS20659 | 01 |
ANCC NATIONAL CREDENTIAL | 2005004619-28 | 01 | |
UT | UTAH CONTROLLED SUBSTANCE | 351517-8900 | 01 |
NV | NEVADA APRN LICENSE | APRN001449 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316387764 | Kimberly Dawn Phillips | Nurse Practitioner | 1180 Glensboro Rd, Lawrenceburg, KY 40342-9034 | 2013-06-30 |
1225377906 | Kimberly Myers Phillips | Physical Therapist | 145 S Granados Ave, Solana Beach, CA 92075-2008 | 2013-01-31 |
1366754095 | Kimberly Ann Phillips | Behavioral Analyst | 1920 Thoreau Dr N Ste 180, Schaumburg, IL 60173-4151 | 2010-07-10 |
1699004135 | Kimberly Clark Phillips | Registered Nurse | 9464 Unionville Rd, Plain City, OH 43064-9734 | 2009-12-11 |
1790985547 | Kimberly Dawn Phillips | Occupational Therapist | 222 Leon Dr, Greenville, NC 27858-9745 | 2007-07-19 |
1245394071 | Kimberly Phillips | Social Worker | 416 Fairley St, Suite E, Laurinburg, NC 28352-3612 | 2006-12-19 |
1396855177 | Kimberly Dawn Phillips | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 700, Charleston, WV 25304-1230 | 2006-08-30 |
1790705937 | Kimberly Phillips | Nurse Practitioner | 1941 Johnson, Suite 301, San Luis Obispo, CA 93401-4175 | 2006-07-20 |
1457359192 | Kimberly Ann Phillips | Family Medicine | 1312 E Lumsden Rd, Brandon, FL 33511-6717 | 2005-07-07 |
1295375186 | Kimberly Ann Phillips | Registered Nurse | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-01-09 |
Street Address |
7670 W SAHARA AVE STE 2 |
City | LAS VEGAS |
State | NV |
Zip Code | 89117-2751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255984209 | Vida Wellness Center | Clinic/Center | 7670 W Sahara Ave Ste 2, Las Vegas, NV 89117-2751 | 2019-07-18 |
1508332099 | Institute of Recovery Las Vegas | Clinic/Center | 7670 W Sahara Ave Ste 2, Las Vegas, NV 89117-2751 | 2018-10-23 |
1861845059 | Advanced Clinical Professionals of Nevada | Nurse Practitioner | 7670 W Sahara Ave Ste 2, Las Vegas, NV 89117-2751 | 2016-07-22 |
1629392253 | Denice Starley, D.o.,p.c. | Pain Medicine | 7670 W Sahara Ave Ste 2, Las Vegas, NV 89117-2751 | 2010-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
Find all providers in zip 89117 |
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 |
---|---|---|---|---|
1881292381 | Chs Caring Providers | Nurse Practitioner | 2330 Paseo Del Prado Ste C201, Las Vegas, NV 89102-4376 | 2020-10-15 |
1376157628 | Elizabeth Diana Moura | Nurse Practitioner | 8044 Farthings Hill Dr, Las Vegas, NV 89166-3701 | 2020-09-03 |
1639782493 | 4 Life Mental and Wellness Health | Nurse Practitioner | 3430 E Flamingo Rd Ste 140, Las Vegas, NV 89121-5003 | 2020-08-30 |
1861018236 | Kikina Wong | Nurse Practitioner | 8234 Violet Meadow Ct, Las Vegas, NV 89117-7607 | 2020-06-22 |
1306462742 | Total Care Medical Group LLC | Nurse Practitioner | 6040 S Durango Dr Ste 115, Las Vegas, NV 89113-1792 | 2020-06-22 |
1588286124 | Simrit Kaur Saraon Msn Pllc | Nurse Practitioner | 4604 Erin Glen St, Las Vegas, NV 89147-7253 | 2020-05-16 |
1730709577 | Michelle Cappatocio | Nurse Practitioner | 5270 S Fort Apache Rd Ste 330, Las Vegas, NV 89148-1726 | 2020-04-22 |
1992338800 | Kristen E Anderson | Nurse Practitioner | 9280 W Sunset Rd Ste 312, Las Vegas, NV 89148-4862 | 2020-02-19 |
1275172173 | Joan Lou Paras Nakar | Nurse Practitioner | 9793 Dakota Creek Ct, Las Vegas, NV 89141 | 2019-12-26 |
1972149102 | Mobile Medical Group LLC | Nurse Practitioner | 400 Shadow Ln Ste 210, Las Vegas, NV 89106-4358 | 2019-11-22 |
Find all providers in LAS VEGAS |
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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.