JESSICA PHILLIPS (NPI# 1629544085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629544085 |
Entity Type | Individual |
Full Name | JESSICA PHILLIPS |
Practice Address |
601 Cumberland St Chattanooga TN 37404-1922 |
Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
Practice Telephone | 4232666751 |
Mailing Telephone | 8659379711 |
Enumeration Date | 2018-10-23 |
Last Update Date | 2018-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
1598127144 | Jessica Lynn Hadwin Phillips | Student in an Organized Health Care Education/Training Program | 1025 Walnut St Rm 516, Philadelphia, PA 19107-5001 | 2016-03-23 |
1881912376 | Jessica Megan Phillips | Dentist | 1103 Callahan Dr, Knoxville, TN 37912-1310 | 2010-05-10 |
1578739694 | Jessica Michelle Phillips | Occupational Therapist | 1410 W. Daisy Bates, Little Rock, AR 72202-5434 | 2008-05-08 |
1174130462 | Jessica Lemoine Phillips | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-30 |
1457963878 | Jessica Lynn Phillips | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-18 |
1699303222 | Jessica Leigh Phillips | Nurse Practitioner | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2020-03-30 |
1811527773 | Jessica Phillips | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-01-20 |
1215575477 | Jessica Phillips | Behavior Technician | 2770 Carpenter Rd, Ann Arbor, MI 48108-4104 | 2019-12-18 |
1033755111 | Jessica Phillips | Registered Nurse | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2019-11-22 |
Street Address |
601 CUMBERLAND ST |
City | CHATTANOOGA |
State | TN |
Zip Code | 37404-1922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811977499 | Shelia G Hanner | Registered Nurse | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2006-01-19 |
1083215164 | Ana Carolina Morris | Specialist | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-11-04 |
1437763133 | Mary B Lester | Student in an Organized Health Care Education/Training Program | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-09-01 |
1558975243 | Heather Wooten | Case Manager/Care Coordinator | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-09-01 |
1558972711 | Tammie Guinn | Counselor | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-08-12 |
1942819347 | Heather Christine Bayer | Case Manager/Care Coordinator | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-07-31 |
1801404041 | Samantha Eitner | Social Worker | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-07-14 |
1326656562 | Sukonya Adams | Case Manager/Care Coordinator | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-07-14 |
1780292920 | Chris Michael Swinney | Specialist/Technologist | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-07-14 |
1649893272 | Amanda Faith Cotter | Case Manager/Care Coordinator | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2020-05-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
Find all providers in zip 37404 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
1891264453 | George Allen Clay | Peer Specialist | 509 S Highland Park Ave, Chattanooga, TN 37404-2932 | 2018-11-13 |
1356984405 | Anna Rose Coyle | Peer Specialist | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-10-22 |
1376109314 | Adrian Marie Verdin-venable | Peer Specialist | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2019-05-15 |
1003380916 | Christopher Wyatt | Peer Specialist | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
1336748375 | Lydia Stoutt | Peer Specialist | 320 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-21 |
1730787706 | Trey Lovelace | Peer Specialist | 310 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-13 |
1386251684 | Terri L Robinson | Peer Specialist | 205 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-30 |
1629686068 | Mary Franfces Miller | Peer Specialist | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-07-22 |
1053939256 | Meredith Roxanne Cross | Peer Specialist | 17 Ridgeway Rd, Norris, TN 37828-3071 | 2020-07-14 |
1184242638 | Misty Lee Matheney | Peer Specialist | 839 Wren Rd, Goodlettsville, TN 37072-2316 | 2020-07-10 |
1558989434 | Chasity Hope Galyon | Peer Specialist | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-07-08 |
1437773801 | Brandi Nicole Greene | Peer Specialist | 310 W 3rd North St, Morristown, TN 37814-4038 | 2020-06-02 |
1720609209 | Angel Kilgore | Peer Specialist | 2408 Susannah St, Johnson City, TN 37601-1732 | 2020-05-06 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37404 |
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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.