MRS. MARY LEE PHILLIPS (NPI# 1639263650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639263650 |
| Entity Type | Individual |
| Full Name | MRS. MARY LEE PHILLIPS |
| Credential | A.P.R.N., F.N.P. |
| Practice Address |
720 Lindsay Lane Suite B Cody WY 82414 |
| Mailing Address |
Po Box 24308 Belfast ME 04915-4494 |
| Practice Telephone | 3075781945 |
| Practice Fax Number | 3075781956 |
| Mailing Telephone | 3079958100 |
| Mailing Fax Number | 3079958100 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26461.0975 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
33320 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | RAILROAD MEDICARE | P00265315 | 01 |
| WV | BCBS SERVICE NUMBER | 001721127 | 01 |
| WV | 7103229000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770132615 | Mary Phillips | Technician | 302 Cherry St, Anita, IA 50020 | 2019-09-04 |
| 1225579931 | Mary Phillips | Occupational Therapist | 1771 Baptist Clay Dr, Fleming Island, FL 32003-8501 | 2017-03-14 |
| 1487070116 | Mary Phillips | Registered Nurse | 1723 S County Road 29, Valley, NE 68064-5216 | 2014-03-05 |
| 1861821902 | Mary Phillips | Community Health Worker | 2240 E. Grand River Ave., Howell, MI 48843 | 2013-11-08 |
| 1558596841 | Mary Elaine Phillips | Registered Nurse | 6833 Bellefontaine Rd, Huber Heights, OH 45424-3308 | 2009-05-15 |
| 1609016005 | Mary E Phillips | Nurse Practitioner | 105 1/2 Mathis Dr, Suite D, Dickson, TN 37055-2096 | 2009-02-24 |
| 1003089244 | Mary Elizabeth Phillips | Radiologic Technologist | 5319 Eel River Ct, North Las Vegas, NV 89031-3504 | 2008-04-09 |
| 1265504302 | Mary Elizabeth Phillips | Counselor | 611 W. Delmar, Alton, IL 62002 | 2006-11-14 |
| 1689786048 | Mary Heloise Phillips | Marriage & Family Therapist | 3300 Churn Creek Rd, Redding, CA 96002-2513 | 2006-08-31 |
| 1023022597 | Mary Ann Phillips | Nurse Practitioner | Uk Div of Medical Oncology, 800 Rose St., Lexington, KY 40536-0001 | 2006-07-28 |
| Street Address |
720 LINDSAY LANE SUITE B |
| City | CODY |
| State | WY |
| Zip Code | 82414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114018728 | Jimmie G Biles Jr. | Orthopaedic Surgery | 720 Lindsay Lane, Suite B, Cody, WY 82414 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480236 | Gloria Sellers Hancock | Nurse Practitioner | 26 Willard Dr, Cody, WY 82414-7812 | 2006-01-05 |
| 1528511375 | Hans Ayres | Nurse Practitioner | 720 Lindsay Ln Ste A, Cody, WY 82414-4103 | 2016-07-28 |
| 1982868667 | Cody Moncur Nielson | Nurse Practitioner | 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 | 2008-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012383 | Susan M. Miner | Nurse Practitioner | 487 N. Main St. #2, Thayne, WY 83127 | 2020-10-27 |
| 1922606177 | Crysta Jean Sullivan | Nurse Practitioner | 2401 Greenway Dr, Gillette, WY 82716-2333 | 2020-10-10 |
| 1245844463 | Lara Vanden Hoek | Nurse Practitioner | 3339 Hales Ranch Rd, Cheyenne, WY 82007-1825 | 2020-09-04 |
| 1417560020 | Camlyn Dunn | Nurse Practitioner | 17985 Us Highway 14, Moorcroft, WY 82721-8814 | 2020-08-25 |
| 1649897406 | Anne Barnes | Nurse Practitioner | 4003 Rawlins St Ste A, Cheyenne, WY 82001-1800 | 2020-06-28 |
| 1548882343 | Evolving Ehealth LLC | Nurse Practitioner | 1309 Coffeen Ave Ste 1200, Sheridan, WY 82801-5777 | 2020-05-14 |
| 1316578826 | Karen Ann Alexander | Nurse Practitioner | 921 S Ballancee Ave, Lusk, WY 82225 | 2020-02-03 |
| 1801436274 | Susan Ranea Roberson | Nurse Practitioner | 69 Valley Dr, Casper, WY 82604-4011 | 2020-01-13 |
| 1497390017 | William Carey Lake | Nurse Practitioner | 1025 Jade Drivee, Hanna, WY 82327-8232 | 2019-11-07 |
| 1184266058 | Kelsie Anderson | Nurse Practitioner | 1423 W 31st St, Cheyenne, WY 82001-2458 | 2019-10-11 |
| 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.