MS. PAULA BERYL PHILLIPS (NPI# 1780672741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780672741 |
| Entity Type | Individual |
| Full Name | MS. PAULA BERYL PHILLIPS |
| Credential | A.R.N.P. |
| Practice Address |
6910 Old Wolf Bay Rd Kids Care Pediatrics, Pa Palatka FL 32177-6800 |
| Practice Telephone | 3863287337 |
| Mailing Telephone | 3863287337 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP2609432 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 301680300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619127222 | Paula Suzanne Phillips | Audiologist-Hearing Aid Fitter | 7704 Wethersfield Dr, West Chester, OH 45069-5515 | 2008-09-19 |
| 1144368770 | Paula Marie Phillips | Registered Nurse | 630 W Main St Ste 400, Tilton, NH 03276-5047 | 2007-02-03 |
| 1760478390 | Paula Jane Phillips | Ophthalmology | 1229 Campbell Rd, Houston, TX 77055-6401 | 2005-09-20 |
| 1942758685 | Paula Phillips | Occupational Therapist | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2016-09-12 |
| 1942579982 | Paula Bell Phillips | Social Worker | 1720 W Florist Ave Ste 125, Glendale, WI 53209-3862 | 2011-12-20 |
| 1881985000 | Paula Phillips | Case Manager/Care Coordinator | 3111 S Dixie Hwy, West Palm Beach, FL 33405-1557 | 2011-04-21 |
| 1700182706 | Paula Leslie Phillips | Counselor | 3260 Providence Dr, Suite 425, Anchorage, AK 99508-4661 | 2011-02-08 |
| 1124173836 | Paula Respondek Phillips | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2007-01-24 |
| 1447278205 | Paula Gail Phillips | Pharmacist | 1011 Honor Heights Dr, Pharmacy, Muskogee, OK 74401-1318 | 2006-07-18 |
| Street Address |
6910 OLD WOLF BAY RD KIDS CARE PEDIATRICS, PA |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043208093 | Laura Jean Hoss | Pediatrics | 6910 Old Wolf Bay Rd, Kids Care Pediatrics, Pa, Palatka, FL 32177-6800 | 2005-10-12 |
| 1366632523 | Cynthia Danielle Skelly | Pediatrics | 6910 Old Wolf Bay Rd, Palatka, FL 32177-6800 | 2007-07-25 |
| 1518044528 | Kids Care Pediatrics,pa | Pediatrics | 6910 Old Wolf Bay Rd, Palatka, FL 32177-6800 | 2006-11-01 |
| 1093732919 | Florangel Gomez Edralin | Pediatrics | 6910 Old Wolf Bay Rd, Palatka, FL 32177-6800 | 2006-07-16 |
| 1952399909 | Eric Maurice Jump | Pediatrics | 6910 Old Wolf Bay Rd, Kids Care Pediatrics, Pa, Palatka, FL 32177-6800 | 2005-10-12 |
| 1104814185 | Kids Care Pediatrics, Pa | Pediatrics | 6910 Old Wolf Bay Rd, Palatka, FL 32177-6800 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477698868 | Patricia Jamo-place | Nurse Practitioner | 1301 Reid St, Palatka, FL 32177-3237 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| 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.