KEVIN PHILLIPS (NPI# 1649774639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649774639 |
| Entity Type | Individual |
| Full Name | KEVIN PHILLIPS |
| Credential | LMT |
| Practice Address |
11038 Glenn Watts Rd Baton Rouge LA 70818-3317 |
| Practice Telephone | 2252237967 |
| Mailing Telephone | 2252237967 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LA8124 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | DRIVER LICENSE | 008821125 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720411929 | Kevin Phillips | Pharmacist | 210 South Hwy 64/264, Manteo, NC 27954-2027 | 2013-08-12 |
| 1588722482 | Kevin Michael Phillips | Chiropractor | 112 Nw Greeley Ave, Bend, OR 97701-2914 | 2006-12-04 |
| 1285661926 | Kevin D Phillips | Radiology | 1104 Martha Berry Blvd Ne, Rome, GA 30165-1612 | 2006-06-27 |
| 1750981916 | Kevin Phillips | Pharmacist | 802 Nw Sheridan Rd, Lawton, OK 73505-5296 | 2020-10-27 |
| 1144845512 | Kevin Thomas Phillips | Case Manager/Care Coordinator | 245 N Grant Ave, Columbus, OH 43215-2641 | 2020-06-11 |
| 1184183899 | Kevin Phillips | Counselor | 12183 Locksley Ln Ste 101, Auburn, CA 95602-2050 | 2019-03-13 |
| 1568820934 | Kevin John Phillips | Counselor | 242 Six Mile Creek Rd, Lancaster, SC 29720-9719 | 2016-02-01 |
| 1144597337 | Kevin Mckinley Phillips | Social Worker | 985 Florence Rd, Savannah, TN 38372-3484 | 2011-11-16 |
| 1649381294 | Kevin Phillips | Physical Therapist | 35 International Dr, Greenville, SC 29615-4816 | 2006-08-31 |
| 1881616258 | Kevin C Phillips | Obstetrics & Gynecology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-24 |
| Street Address |
11038 GLENN WATTS RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70818-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508385576 | Stacia Clay | Driver | 8210 Brennen Drive, Baton Rouge, LA 70818 | 2017-09-11 |
| 1952650376 | Tara Rispone Delee | Social Worker | 12249 Hooper Road, Baton Rouge, LA 70818 | 2012-08-30 |
| 1417231705 | Cyril Floyd Broussard | Pharmacist | 14360 Wax Rd., Central, LA 70818 | 2011-10-05 |
| 1972887263 | Charles Erwin Seymour | Pharmacist | 14360 Wax Road, Central, LA 70818 | 2011-10-05 |
| 1306146089 | Central Chiropractic Center, Inc. | Preferred Provider Organization | 8755 Sullivan Road, Suite A, Central, LA 70818 | 2010-10-27 |
| 1649596321 | Fast Lane of Central LLC | Clinic/Center | 11421 Sullivan Rd, Bldg B, Baton Rouge, LA 70818 | 2010-04-20 |
| 1992837710 | James H Hebert | Dentist | 11424 Sullivan Road, Suite A, Baton Rouge, LA 70818 | 2007-03-09 |
| 1235295221 | Walter Jules Vaughan | Dentist | 13323 Hooper Rd., Baton Rouge, LA 70818 | 2006-12-28 |
| 1245329325 | Melissa R Barrett | Emergency Medicine | 11055 Shoe Creek Dr, Baton Rouge, LA 70818 | 2006-10-12 |
| 1740208867 | Michael Romaguera | Family Medicine | 11055 Shoe Creek Drive, Baton Rouge, LA 70818 | 2006-07-17 |
| Find all providers in zip 70818 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283085 | Jennifer Greenup | Massage Therapist | 9270 Siegen Ln Bldg 602, Baton Rouge, LA 70810-0935 | 2020-10-19 |
| 1922615111 | Juloni A Rodriguez | Massage Therapist | 1221 Arcadia Dr, Baton Rouge, LA 70810-2641 | 2020-09-30 |
| 1386262970 | Megan Mackay | Massage Therapist | 701 Lakeland Dr Apt 3, Baton Rouge, LA 70802-4447 | 2020-07-09 |
| 1760019913 | Chanice Unchelle Boudreaux | Massage Therapist | 11758 S Harrells Ferry Rd Ste B, Baton Rouge, LA 70816-2365 | 2020-03-26 |
| 1598396210 | Lateefah Hills | Massage Therapist | 8674 Quarters Lake Rd # 7, Baton Rouge, LA 70809-2172 | 2020-01-31 |
| 1871155085 | Marla Michelle Harper | Massage Therapist | 9766 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2716 | 2019-07-08 |
| 1881157055 | Tremeca Lakia Roberson | Massage Therapist | 305 France St Ste A, Baton Rouge, LA 70802-6102 | 2019-04-13 |
| 1740756626 | Janeth Kay Debenedetto | Massage Therapist | 4600 Sherwood Common Blvd Ste 403, Baton Rouge, LA 70816-4890 | 2018-10-18 |
| 1063987816 | Devannon Hubert | Massage Therapist | 4242 Government St Ste 122, Baton Rouge, LA 70806-5811 | 2018-10-08 |
| 1881189611 | Breana R Carpenter | Massage Therapist | 12090 S Harrells Ferry Rd Ste P, Baton Rouge, LA 70816-2470 | 2018-06-25 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70818 |
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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.