STEPHANIE GRIDER PHILLIPS (NPI# 1790092906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790092906 |
| Entity Type | Individual |
| Full Name | STEPHANIE GRIDER PHILLIPS |
| Credential | CRNP |
| Practice Address |
23800 John T Reid Pkwy Scottsboro AL 35768-2841 |
| Mailing Address |
23800 John T Reid Parkway Scottsboro AL 35768 |
| Practice Telephone | 2569990808 |
| Mailing Telephone | 2569990808 |
| Mailing Fax Number | 8444905876 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1-101961 | AL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-101961 | 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 |
23800 JOHN T REID PKWY |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35768-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558536979 | Dennis John Basila | Pediatrics | 23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 | 2008-04-27 |
| 1568094597 | Jennifer Jones | Nurse Practitioner | 23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 | 2020-02-07 |
| 1467902478 | Kerrie Mince Wynn | Nurse Practitioner | 23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 | 2016-10-13 |
| 1376090357 | Kids 1st Pediatrics, LLC | Pediatrics | 23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 | 2016-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787510 | Advanced Physical Therapy, LLC | Physical Therapist | 24500 John T Reid Pkwy, Scottsboro, AL 35768 | 2020-07-07 |
| 1083955173 | Premier Medical Clinic LLC | Clinic/Center | 503 Burlington Street, Scottsboro, AL 35768 | 2013-03-14 |
| 1285811463 | Edward Wesley Knowles Md PC | Surgery | 911 South Broad St, Scottsboro, AL 35768 | 2008-01-30 |
| 1669664439 | Leslie A Barrilleaux | Dentist | 412 E Willow St, Scottsboro, AL 35768 | 2007-08-15 |
| 1811049117 | Dawson Staley Colvert | Dentist | 313 Parks Avenue, Scottsboro, AL 35768 | 2007-01-17 |
| 1255483806 | Grady Mack Goss | Dentist | 313 Parks Ave, Scottsboro, AL 35768 | 2007-01-16 |
| 1215088026 | Mandi Michelle Allen-bell | Family Medicine | 405 Taylor Street, Suite A, Scottsboro, AL 35768 | 2007-01-16 |
| 1376617571 | David Pierce Chiropractic Inc | Chiropractor | 624 East Willow St, Scottsboro, AL 35768 | 2006-11-20 |
| 1588733299 | Valley Dental Implant Center LLC | Dentist | 921 South Broad St, Scottsboro, AL 35768 | 2006-11-07 |
| 1558465815 | Mark A Reece | Dentist | 416 E Laurel, Scottsboro, AL 35768 | 2006-09-08 |
| Find all providers in zip 35768 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120608 | Coty Phillips | Nurse Practitioner | 1508 S Broad St Ste 200, Scottsboro, AL 35768-2668 | 2020-06-29 |
| 1710546122 | Kristen Lockmiller | Nurse Practitioner | 406 Taylor St, Scottsboro, AL 35768-2403 | 2019-06-10 |
| 1588178719 | Dara Dewberry Rogers | Nurse Practitioner | 913 S Broad St, Scottsboro, AL 35768-2509 | 2017-11-27 |
| 1306201611 | Sommer Porch | Nurse Practitioner | 1302 S Broad St, Scottsboro, AL 35768-2605 | 2015-12-31 |
| 1568094597 | Jennifer Jones | Nurse Practitioner | 23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 | 2020-02-07 |
| 1528613122 | Jana Jackson | Nurse Practitioner | 505 Burlington St, Scottsboro, AL 35768-4216 | 2019-08-09 |
| 1326524091 | Melissa Fay Nevitt | Nurse Practitioner | 1508 S Broad St Ste 300, Scottsboro, AL 35768 | 2018-07-16 |
| 1003392002 | Marla Byrum | Nurse Practitioner | 412 W Cloverdale Rd, Scottsboro, AL 35768-4264 | 2018-07-13 |
| 1609386283 | Amy Pedigo Ballard | Nurse Practitioner | 21680 Al Highway 79, Scottsboro, AL 35768-5904 | 2017-10-09 |
| 1104342294 | Laura C Walls | Nurse Practitioner | 1508 S Broad St Ste 300, Scottsboro, AL 35768-2668 | 2017-08-21 |
| Find all providers in SCOTTSBORO | ||||
| City | SCOTTSBORO |
| Zip Code | 35768 |
Please comment or provide details below to improve the information on STEPHANIE GRIDER 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.