JEANIE L PHILLIPS (NPI# 1588204317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588204317 |
| Entity Type | Individual |
| Full Name | JEANIE L PHILLIPS |
| Practice Address |
1837 Us Highway 11 Lot 34 Marathon NY 13803-2360 |
| Practice Telephone | 6078496015 |
| Mailing Telephone | 6078496015 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
1837 US HIGHWAY 11 LOT 34 |
| City | MARATHON |
| State | NY |
| Zip Code | 13803-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780980094 | Kathleen Ann Meadows | Licensed Practical Nurse | 3 South Street, Marathon, NY 13803 | 2011-02-03 |
| 1063407419 | Marathon Area Volunteer Ambulance Corps Inc | Ambulance | 2 Peck St, Marathon, NY 13803 | 2005-09-13 |
| 1386130128 | Natalia Lynne Mccormick | Nurse Practitioner | 20 East Main Street, Marathon, NY 13803 | 2018-07-05 |
| 1548556442 | Terrissa Martin | Obstetrics & Gynecology | 20 East Main Street, Marathon, NY 13803 | 2011-06-20 |
| 1710211255 | Bridget R Savory | Physician Assistant | Albro Road, Marathon, NY 13803-0000 | 2009-10-01 |
| 1700339074 | Carly Latta | Nurse Practitioner | 20 East Main Street, Marathon, NY 13803-0000 | 2016-08-03 |
| 1073612875 | Erica Z. Burkert | Nurse Practitioner | 1 East Main Street, Marathon, NY 13803-0000 | 2006-09-21 |
| 1851322937 | Kinney Drugs, Inc. #88 | Pharmacy | 6 East Main Street, Marathon, NY 13803-0284 | 2006-07-06 |
| 1417268228 | Stacy M Shirley | Speech-Language Pathologist | 24 Albro Road, Marathon, NY 13803-0339 | 2010-06-25 |
| 1043377526 | Marathon Central School District | Local Education Agency (LEA) | 1 E. Main St., Marathon, NY 13803-0339 | 2007-01-03 |
| Find all providers in zip 13803 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615101 | Kari J Sherrod | Technician | 1601 Us Highway 50, Marathon, OH 45118-8605 | 2020-10-02 |
| 1679122063 | Christine A. Hoyt | Technician | 135830 Countryside Drive, Marathon, WI 54448 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885666 | Carole Jane Pelaia | Technician | 100 Forrestal Hts, Beacon, NY 12508-3733 | 2020-09-15 |
| 1194340950 | Barbara Dore Russell | Technician | 43 Hillsboro Dr, Orchard Park, NY 14127-3433 | 2020-06-08 |
| 1316560105 | Baw Su | Technician | 341 Oliver St, N Tonawanda, NY 14120-7227 | 2020-05-27 |
| 1255953782 | Tina Marie Loucks | Technician | 6294 Fulford Hill Rd, Bath, NY 14810-8156 | 2020-05-06 |
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1891324240 | Crystal Lynn Booth | Technician | 5510 Fortuna Pkwy, Clay, NY 13041-8929 | 2020-04-07 |
| 1366076788 | Patricia Metznik Garcia | Technician | 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 | 2020-02-25 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1568001972 | William B Love | Technician | 2050 Frederick Douglas Blvd #2-10, New York, NY 10026-3236 | 2020-01-02 |
| 1851939821 | Linda L Matties | Technician | 1246 Flynn Rd, Rochester, NY 14612-2920 | 2019-12-20 |
| 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.