LYNNE KATHLEEN PHILLEY (NPI# 1881102580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881102580 |
| Entity Type | Individual |
| Full Name | LYNNE KATHLEEN PHILLEY |
| Credential | NP-C |
| Practice Address |
1819 Black River Blvd N Rome NY 13440-2451 |
| Mailing Address |
245 Hill Rd Rome NY 13441-4237 |
| Practice Telephone | 3153387184 |
| Practice Fax Number | 3153391975 |
| Mailing Telephone | 3153387308 |
| Mailing Fax Number | 3153387422 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308500-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1819 BLACK RIVER BLVD N |
| City | ROME |
| State | NY |
| Zip Code | 13440-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658407 | Richard John Mutty | Orthopaedic Surgery | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2005-06-08 |
| 1275150898 | Carey Marrello | Internal Medicine | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2020-06-30 |
| 1700121894 | Rome Memorial Hospital | Internal Medicine | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2012-11-30 |
| 1265564975 | Rome Mri Associates | Radiology | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2007-03-09 |
| 1306995253 | Bridget M Arquette | Nurse Practitioner | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2007-01-09 |
| 1871526434 | Richard J. Mutty Md, PC | Orthopaedic Surgery | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2006-07-08 |
| 1326031725 | Mohawk Valley Open Mri, PC | Radiology | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2005-08-31 |
| 1912909870 | Patricia C Marrello | Nurse Practitioner | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578073565 | Dawne R Michael | Nurse Practitioner | 304 Shorter Ave Nw Ste 101, Rome, GA 30165-4289 | 2017-10-04 |
| 1154335685 | Linda E. Talerico | Nurse Practitioner | 195-199 West Dominick Street, Rome, NY 13440-5855 | 2006-07-28 |
| 1235435173 | Jennifer Leigh Gober | Nurse Practitioner | 330 Turner Mccall Blvd Sw, Ste 107, Rome, GA 30165-5630 | 2011-02-09 |
| 1285930024 | Erin Molly Tant | Nurse Practitioner | 909 N 5th Ave Ne, Rome, GA 30165-2706 | 2011-01-26 |
| 1750317699 | Maureen Zumpano | Nurse Practitioner | 125 Brookley Rd, Rome, NY 13441-4301 | 2006-06-23 |
| 1790726081 | Mary Janet Paparella | Nurse Practitioner | 1500 N James St, Rome, NY 13440-2844 | 2006-06-09 |
| 1912998063 | Colleen M Wojcik | Nurse Practitioner | 1617 N James St, Ste 400, Rome, NY 13440 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 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.