CHRISTOPHER DUVAL PHILLIPS (NPI# 1689224909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689224909 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER DUVAL PHILLIPS |
| Credential | NP |
| Practice Address |
729 Sunrise Ave Ste 602 Roseville CA 95661-4542 |
| Mailing Address |
729 Sunrise Ave Ste 611 Roseville CA 95661-4548 |
| Practice Telephone | 9169537571 |
| Practice Fax Number | 9167718515 |
| Mailing Telephone | 9169537571 |
| Mailing Fax Number | 9169537571 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95011735 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 480 Del Norte Ave, Yuba City, CA 959914125 | 9169537571 | 9167718515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099030 | Christopher Adam Phillips | Nurse Practitioner | 2801 Unity Pointe Ave, Sacramento, CA 95833-3772 | 2019-05-28 |
| 1154801132 | Christopher Anthony Phillips | Physical Therapist | 4902 Oakwood Rd Nw, Huntsville, AL 35806-1615 | 2018-08-18 |
| 1376948554 | Christopher Phillips | Military Health Care Provider | 121 Orion Ave, Groton, CT 06340-2841 | 2014-10-29 |
| 1457755571 | Christopher Wayne Phillips | Counselor | 3792 Chancery Ln, Virginia Beach, VA 23452-2855 | 2014-10-17 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1083973960 | Christopher Paul Phillips | Counselor | 1110 Woodbury St, Shelbyville, TN 37160-2758 | 2012-05-11 |
| 1124397906 | Christopher Delyn Phillips | Chiropractor | 6200 W Eldorado Pkwy, Ste B, Mckinney, TX 75070-5624 | 2011-12-22 |
| 1013221506 | Christopher J Phillips | Preventive Medicine | 700 W E St, Unit 1101, San Diego, CA 92101-5990 | 2010-07-27 |
| 1912024563 | Christopher Raymond Phillips | Internal Medicine | 100 Kiana Court, Suite B, Paducah, KY 42001-6787 | 2007-03-26 |
| 1700963220 | Christopher R E Phillips | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-01 |
| Street Address |
729 SUNRISE AVE STE 602 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720056153 | T J Maroon II | Anesthesiology | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2006-03-10 |
| 1548882012 | Benjamin Pearce | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2020-05-07 |
| 1184111569 | Arshin Kaviani Destjerdi | Pharmacist | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2018-04-20 |
| 1790292712 | Sara Niknam | Physician Assistant | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2017-12-29 |
| 1134550213 | Vanessa Kovarik Brown | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2013-11-27 |
| 1427322635 | Advanced Pain Diagnostic & Solutions, Inc. | Clinic/Center | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2012-03-06 |
| 1639227044 | Victor Manuel Nava | Specialist | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2007-01-08 |
| 1396834560 | R&r Physical Medicine and Rehabilitation Medical Clinic, Inc | Physical Medicine & Rehabilitation | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996478 | Mary Ann Thomas | Nurse Practitioner | 1856 Hillmont Way, Roseville, CA 95661-5818 | 2020-06-08 |
| 1205465564 | Sonja Brockman | Nurse Practitioner | 2685 Long Lake Rd Ste 105, Roseville, MN 55113-1117 | 2020-04-07 |
| 1972162931 | Georgette Marie Aneed | Nurse Practitioner | 18303 E 10 Mile Rd Ste 100, Roseville, MI 48066-4989 | 2019-06-12 |
| 1710460282 | Gerlinda Marie Gordon | Nurse Practitioner | 28811 Felician St, Roseville, MI 48066-7442 | 2018-09-11 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1205342391 | Stephanie Ridgley | Nurse Practitioner | 108 Mcmindes Ct, Roseville, CA 95747-5853 | 2017-12-27 |
| 1285148528 | Hyacinth Joy Lumapas Cassion | Nurse Practitioner | 701 Pleasant Grove Blvd Ste 125, Roseville, CA 95678-6194 | 2017-11-23 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1265960272 | Giovannina Dillon | Nurse Practitioner | 151 N Sunrise Ave Ste 1201, Roseville, CA 95661-2961 | 2017-06-02 |
| 1467802934 | Bethany Berryhill | Nurse Practitioner | 1410 Lorimer Way, Roseville, CA 95747-6036 | 2016-06-15 |
| Find all providers in ROSEVILLE | ||||
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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.