JENNIFER E PHILLIPS (NPI# 1619433703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619433703 |
| Entity Type | Individual |
| Full Name | JENNIFER E PHILLIPS |
| Practice Address |
1276 W River St Ste 100 Boise ID 83702-7083 |
| Practice Telephone | 2083384699 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |
| 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 |
58676 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887074 | Jennifer Russell Phillips | Music Therapist | 50 N Plymouth Ave, Rochester, NY 14614-1221 | 2020-10-09 |
| 1043834195 | Jennifer Phillips | Occupational Therapist | 1 Keefe Ave, Newton, MA 02464-1316 | 2020-06-04 |
| 1508328998 | Jennifer Alison Phillips | Nurse Practitioner | 6101 Ne 107th St, Oklahoma City, OK 73151-9560 | 2019-04-03 |
| 1366911794 | Jennifer Patricia Phillips | Occupational Therapist | 2558 Wilson Ave, Bronx, NY 10469-5609 | 2018-11-14 |
| 1144724501 | Jennifer Marie Phillips | Nurse Practitioner | 715 Rainbow Forest Dr, Lynchburg, VA 24502-3035 | 2018-03-21 |
| 1063895795 | Jennifer Phillips | Speech-Language Pathologist | 7017 Citrus Point Ct, Winter Park, FL 32792-7500 | 2015-06-30 |
| 1316344757 | Jennifer Phillips | Social Worker | 1085 Poplar Ave, Memphis, TN 38105-4724 | 2014-12-01 |
| 1053740944 | Jennifer Phillips | Marriage & Family Therapist | 812 Gradyhill Pl, Midlothian, VA 23114-3362 | 2013-11-01 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1568808939 | Jennifer Ruth Phillips | Social Worker | Department of Veteran Affairs Southern Az Va, 3601 South 6th Avenue, Tucson, AZ 85723-0001 | 2013-05-13 |
| Street Address |
1276 W RIVER ST STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-7083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285954313 | Shawn Gary Nielsen | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2010-06-11 |
| 1093314734 | Sarah Kimberly Tish | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2020-10-23 |
| 1427676063 | Jennifer Janelle Goodall | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2020-07-09 |
| 1811528540 | Desteni Neilson | Counselor | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2020-01-31 |
| 1962968636 | Brianne M Fagenstrom | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2019-02-18 |
| 1255801205 | John Charles Kuehne Jr. | Counselor | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2018-12-03 |
| 1699267252 | Joshua Echeverria | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2018-05-30 |
| 1457850612 | Kristie Louderbough | Counselor | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2018-02-02 |
| 1205355831 | Christopher Munga Gakwa | Nurse Practitioner | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2017-09-14 |
| 1528500840 | Hillary Godsill | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2016-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| 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 |
|---|---|---|---|---|
| 1790302594 | Dumu Psychiatry LLC | Nurse Practitioner | 9428 W Fairview Ave, Boise, ID 83704-8101 | 2020-06-29 |
| 1104309657 | Brigitta Panther | Nurse Practitioner | 418 W Reese St, Boise, ID 83706-6233 | 2018-09-11 |
| 1336413459 | Cheryl Suhr | Nurse Practitioner | 10840 W Wasdale Dr, Boise, ID 83709-7170 | 2012-03-07 |
| 1679898225 | Shawna L Kuehne | Nurse Practitioner | 1902 Judith Ln Ste 110, Boise, ID 83705-5235 | 2010-04-06 |
| 1841529310 | Carolyn Corbett | Nurse Practitioner | 7280 W Ustick Rd, Suite 101, Boise, ID 83704-5014 | 2009-12-13 |
| 1306089271 | Mark A Jepson | Nurse Practitioner | 1919 W State St, Boise, ID 83702-3958 | 2009-04-08 |
| 1548300924 | Gia Swope | Nurse Practitioner | 13967 W Wainwright Dr, Suite 103, Boise, ID 83713-2094 | 2007-02-07 |
| 1043392756 | Satu H. Woodland | Nurse Practitioner | 3152 S. Bown Way # 102, Boise, ID 83706 | 2006-10-20 |
| 1295735801 | Karen Lenore Schumacher | Nurse Practitioner | 2308 N Cole Rd, Ste A, Boise, ID 83704-7361 | 2005-07-26 |
| 1710593363 | Laura Lyn Allen | Nurse Practitioner | 3152 S Bown Way Ste 102, Boise, ID 83706-5456 | 2020-09-18 |
| Find all providers in BOISE | ||||
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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.