MISS STEPHANIE SUTTER PHILLIPS (NPI# 1659763605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659763605 |
| Entity Type | Individual |
| Full Name | MISS STEPHANIE SUTTER PHILLIPS |
| Other Name | MISS STEPHANIE MCCLURE |
| Credential | CRNP |
| Practice Address |
510 Cherry St Ne Decatur AL 35601-1970 |
| Practice Telephone | 2563537021 |
| Mailing Telephone | 2563537021 |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-072812 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437658010 | Stephanie Erin Phillips | Counselor | 1227 N Franklin St, Colorado Springs, CO 80903-2525 | 2018-02-08 |
| 1902320864 | Stephanie Marie Phillips | Nurse Practitioner | 18211 Pines Blvd, Pembroke Pines, FL 33029-1417 | 2017-08-01 |
| 1710370135 | Stephanie Phillips | Physician Assistant | 777 E Route 70 # G-101, Marlton, NJ 08053-2341 | 2015-03-10 |
| 1912324690 | Stephanie Kay Phillips | Massage Therapist | 6975 Westwyck Dr, Whitehouse, OH 43571-9616 | 2014-03-19 |
| 1639516990 | Stephanie Ann Phillips | Social Worker | 7565 Granger Rd, Suite B, Cleveland, OH 44125-4818 | 2013-05-28 |
| 1982901468 | Stephanie Phillips | Counselor | 1811 Queen Anne Ave N Ste 202, Seattle, WA 98109-2850 | 2011-02-18 |
| 1639406085 | Stephanie Ellen Phillips | Speech-Language Pathologist | 636 Laconia Ave, Staten Island, NY 10306-5228 | 2009-11-05 |
| 1528391232 | Stephanie Marie Phillips | Registered Nurse | 1640 Oak Park Blvd, Pleasant Hill, CA 94523-4422 | 2009-09-13 |
| 1699983650 | Stephanie Barbara Phillips | Podiatrist | 140 Einstein Loop, Suite 13d, Bronx, NY 10475-4903 | 2007-05-21 |
| 1538203195 | Stephanie Phillips | Dentist | 1123 Winding Branch Cir, Dunwoody, GA 30338-3915 | 2007-02-16 |
| Street Address |
510 CHERRY ST NE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205979986 | Morgan County Health Dept Epsdt Cm | Case Management | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-14 |
| 1770891541 | Julia Boehme | Nurse Practitioner | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2010-09-15 |
| 1588972210 | Cravens Gibbs | Nurse Practitioner | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2010-09-15 |
| 1487789491 | State of Alabama Department of Public Health | Public Health or Welfare | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-22 |
| 1073657904 | Morgan County Health Dept Pat 1st Cm | Case Management | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-16 |
| 1881738631 | Morgan County Health Dept Fp Cm | Case Management | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-16 |
| 1558405324 | Morgan County Health Dept Prev Health Ed | Public Health or Welfare | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-16 |
| 1932243771 | Morgan County Health Dept Vfc Immun | Public Health or Welfare | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-16 |
| 1366585457 | Morgan County Health Dept Pri Care | Public Health or Welfare | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-15 |
| 1841333234 | Morgan County Health Dept Adult Immun | Public Health or Welfare | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759137 | Brittany N Eischeid | Nurse Practitioner | 1502 S Fm 51 Ste B, Decatur, TX 76234-2476 | 2020-01-19 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1235520321 | Catherine Kelsey Kinslow | Nurse Practitioner | 2406 Hwy 31, Decatur, AL 35603-1504 | 2015-02-10 |
| 1912093816 | Cara A Gravlin | Nurse Practitioner | 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 | 2006-10-05 |
| 1811595085 | Glenn Andrew Thomas | Nurse Practitioner | 2665 N Decatur Rd Ste 430, Decatur, GA 30033-6145 | 2020-10-11 |
| 1861019697 | Esther Miranda Hambrick | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2020-06-27 |
| 1740818814 | Valerie Lynn Rouse Beliard | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-01 |
| 1689238909 | Sara K Pollock | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2019-04-23 |
| 1255890703 | Rachel Elizabeth Branton | Nurse Practitioner | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-03-14 |
| Find all providers in DECATUR | ||||
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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.