STACEY LYNN PHILLIPS (NPI# 1710136718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710136718 |
| Entity Type | Individual |
| Full Name | STACEY LYNN PHILLIPS |
| Credential | MSN, FNP |
| Practice Address |
25 Woodbridge Rd Suite A Somerville TN 38068-1242 |
| Practice Telephone | 9014656353 |
| Practice Fax Number | 9014655948 |
| Mailing Telephone | 9014656353 |
| Mailing Fax Number | 9014655948 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2015-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
13658 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051256 | Stacey L Phillips | Early Intervention Provider Agency | 185 Bronx River Rd, 4p, Yonkers, NY 10704-3752 | 2017-02-07 |
| 1730237926 | Stacey Marie Phillips | Speech-Language Pathologist | 1604 W Cullom Ave, Apt #2wc, Chicago, IL 60613-1255 | 2007-01-06 |
| 1679950877 | Stacey Phillips | Social Worker | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2015-04-27 |
| 1801237888 | Stacey Ann Marie Phillips | Licensed Practical Nurse | 40700 California Oaks Rd, Suite 202, Murrieta, CA 92562-5795 | 2013-07-08 |
| 1083912653 | Stacey Jo Phillips | Case Manager/Care Coordinator | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-03-07 |
| 1053558494 | Stacey Michele Phillips | Physical Therapist | 46 W Colt Square Dr, Fayetteville, AR 72703-2813 | 2009-01-07 |
| Street Address |
25 WOODBRIDGE RD SUITE A |
| City | SOMERVILLE |
| State | TN |
| Zip Code | 38068-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164591566 | Elizabeth P Mcknight | Nurse Practitioner | 25 Woodbridge Rd, Somerville, TN 38068-1242 | 2006-11-07 |
| 1063866556 | Jamie Burrus | Nurse Practitioner | 25 Woodbridge Rd, Somerville, TN 38068-1242 | 2016-04-20 |
| 1750647566 | Terri Nicole Alvardo Ramirez | Nurse Practitioner | 25 Woodbridge Rd, Somerville, TN 38068-1242 | 2012-04-05 |
| 1467731984 | Louie Richard Roney | Nurse Practitioner | 25 Woodbridge Rd, Suite A, Somerville, TN 38068-1242 | 2011-08-15 |
| 1629155585 | John M Bishop | Family Medicine | 25 Woodbridge Rd, Somerville, TN 38068-1242 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1902026107 | Alliance Health Services, Inc | Home Health | 201 Lakeview Dr, Suite B, Somerville, TN 38068 | 2007-04-27 |
| 1730239997 | State of Tennessee | Public Health or Welfare | 90 Yum Yum Road, Somerville, TN 38068 | 2007-01-11 |
| 1366514697 | Cynthia D Elder | Pharmacy Technician | 13092 North Main Street, Summerville, TN 38068 | 2006-11-14 |
| 1275612053 | Bessie M Hoskins | Pharmacy Technician | 13092 North Main, Somerville, TN 38068 | 2006-11-03 |
| 1245319797 | Deborah Louise Davis | Pharmacy Technician | 8885 La Grange Rd, Somerville, TN 38068 | 2006-11-03 |
| 1891876868 | John David Cima | Dentist | 13190 N. Main St, Somerville, TN 38068 | 2006-10-18 |
| 1750478277 | Marie Middlecoff Stevens | Pharmacist | 13092 N Main Street, Super Drugs, Somerville, TN 38068 | 2006-10-06 |
| 1588675276 | Wilder Clinic | Family Medicine | 201 Lake View, Ste A Wilder Clinic, Sunerville, TN 38068 | 2006-08-10 |
| 1588687644 | Freds Stores of Tennessee Inc | Pharmacy | Highway 64 West, Somerville, TN 38068 | 2006-07-26 |
| Find all providers in zip 38068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744111 | Sarah L Patches | Nurse Practitioner | 40 Central St Unit 2, Somerville, MA 02143-2826 | 2020-09-09 |
| 1790315331 | Zachariah Zehler | Nurse Practitioner | 6800 Wayne Trace Rd, Somerville, OH 45064-9483 | 2020-01-23 |
| 1700238508 | Medical East of Decatur Inc | Nurse Practitioner | 4166 Highway 36 E, Somerville, AL 35670-5803 | 2016-07-06 |
| 1629453121 | Emily Brown | Nurse Practitioner | 440 Foley St, Somerville, MA 02145-1213 | 2015-07-25 |
| 1316354236 | Meghan Glynn | Nurse Practitioner | 51 Woods Ave, Somerville, MA 02144-1118 | 2014-07-14 |
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1710280391 | Allie Win Collignon | Nurse Practitioner | 750 Broadway Apt 3, Somerville, MA 02144-2143 | 2010-12-21 |
| 1750556148 | Wilder Clinic, LLC | Nurse Practitioner | 201 Lakeview Rd, Suite A, Somerville, TN 38068-9742 | 2008-04-25 |
| 1164591566 | Elizabeth P Mcknight | Nurse Practitioner | 25 Woodbridge Rd, Somerville, TN 38068-1242 | 2006-11-07 |
| 1629018981 | Ashley O Pennington | Nurse Practitioner | 213 Lakeview Dr, Somerville, TN 38068 | 2006-06-07 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 38068 |
Please comment or provide details below to improve the information on STACEY LYNN PHILLIPS.
| 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.