KELLY MARIE PHILLIPS (NPI# 1922586999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922586999 |
Entity Type | Individual |
Full Name | KELLY MARIE PHILLIPS |
Practice Address |
7601 S Redwood Rd Bldg E West Jordan UT 84084-4007 |
Practice Telephone | 7029560041 |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891305678 | Kelly Phillips | Occupational Therapist | 6447 Springfield Blvd, Oakland Gardens, NY 11364-2337 | 2020-08-05 |
1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
1104118355 | Kelly M Phillips | Veterinarian | 1808 S Randall Rd, Algonquin, IL 60102-5925 | 2011-05-06 |
1083857064 | Kelly Phillips | Registered Nurse | 10 Upland Rd, Belmont, MA 02478-2302 | 2009-04-07 |
1467662106 | Kelly G Phillips | Marriage & Family Therapist | 1035a Director Ct, Greenville, NC 27858-5996 | 2007-05-23 |
1073593349 | Kelly Phillips | Family Medicine | 821 N. Coleman St., 100, Prosper, TX 75078 | 2006-01-20 |
1871192906 | Kelly Phillips | Social Worker | 203 East St, Easthampton, MA 01027-1234 | 2020-10-20 |
1407453178 | Kelly R. Phillips | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-06 |
1518595859 | Kelly Phillips | Student in an Organized Health Care Education/Training Program | 5800 Hannum Ave Ste 105, Culver City, CA 90230-6553 | 2020-03-31 |
1619536513 | Kelly M Phillips | Speech-Language Pathologist | 889 N Aurora Rd, Aurora, OH 44202-9537 | 2019-06-13 |
Street Address |
7601 S REDWOOD RD BLDG E |
City | WEST JORDAN |
State | UT |
Zip Code | 84084-4007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780972836 | Karan Kay Barnes | Social Worker | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2011-07-11 |
1811501489 | Jonathan Ramirez | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-09-01 |
1376168427 | Drew Ray Conder | Case Management | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-06-15 |
1932724234 | Zoe Annette Stucky | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-06-11 |
1750906053 | Gina Leorne Gerback | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-06-11 |
1053954628 | Jared Barker | Social Worker | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2019-10-25 |
1174089007 | Kenneth Scott Sorensen | Social Worker | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2019-02-15 |
1780168781 | Seth Ronald Duncan | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-09-17 |
1356825350 | Robert Bixler | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-09-17 |
1194209197 | Angie Jolley | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-09-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
Find all providers in zip 84084 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528541844 | Brittany Reva Bowen | Counselor | 7272 S 2530 W # Wet, West Jordan, UT 84084-3058 | 2018-09-12 |
1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
1386182483 | James Essex | Counselor | 8565 S 4770 W, West Jordan, UT 84088-4797 | 2017-02-08 |
1831548973 | Sarah Elizabeth Clark | Counselor | 7601 S Redwood Rd Ste E, West Jordan, UT 84084-4007 | 2016-06-09 |
1881080240 | Jeffrey Arbez Zinger | Counselor | 8235 S Spratling Dr, West Jordan, UT 84081-1733 | 2015-04-13 |
1225447774 | Denise Larouche | Counselor | 3864 W Garonne Ave, West Jordan, UT 84084-1927 | 2014-08-08 |
1356767388 | Ken C Mccauley | Counselor | 5454 Balsa Avenue, West Jordan, UT 84081 | 2014-03-14 |
1215367164 | Summer Luke | Counselor | 5500 W Bagley Park Rd Bldg J, West Jordan, UT 84081-5697 | 2013-11-13 |
1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
Find all providers in WEST JORDAN |
City | WEST JORDAN |
Zip Code | 84084 |
Please comment or provide details below to improve the information on KELLY MARIE 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.