JO ELLA LEE PHILLIPS (NPI# 1942545710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942545710 |
| Entity Type | Individual |
| Full Name | JO ELLA LEE PHILLIPS |
| Credential | PA-C |
| Practice Address |
1313 N 13th Ave Walla Walla WA 99362-8817 |
| Practice Telephone | 2082840999 |
| Mailing Telephone | 2082840999 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.PA:60312122 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1313 N 13TH AVE |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-8817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427006246 | Brian Walker | Psychiatry & Neurology | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2006-05-04 |
| 1003449695 | Liam C Wall | Counselor | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2020-02-21 |
| 1811463623 | Cheryl Ann Campbell | Counselor | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2018-10-18 |
| 1235644634 | Thompson & Thompson Physical Therapy, Ps | Clinic/Center | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2017-12-07 |
| 1891200291 | William Lloyd Thompson | Physical Therapist | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2017-12-06 |
| 1598282634 | Teddi Rose Armstrong | Nurse Practitioner | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2017-08-29 |
| 1639542020 | Maxim Healthcare Services, Inc. | Dentist | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2015-11-05 |
| 1588093280 | Jennifer Lauren Meyers | Physician Assistant | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2013-11-04 |
| 1164713558 | Washington State Penitentiary | Clinic/Center | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2011-04-20 |
| 1811206717 | Hugo Jonathan Reyes | Physician Assistant | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2010-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548527765 | Matthew Duis Dempster Summers | Physician Assistant | 1120 West Rose St, Walla Walla, WA 99362 | 2012-04-12 |
| 1699305185 | Amanda Burks | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2020-01-23 |
| 1295235281 | Megan Renee Freismidl | Physician Assistant | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2018-02-15 |
| 1497254635 | Corey Carson | Physician Assistant | 301 W Poplar St, Walla Walla, WA 99362-2858 | 2018-02-02 |
| 1407204811 | Benjamin Nichols | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2016-05-25 |
| 1619353968 | Heather Dimock | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2015-08-09 |
| 1588093280 | Jennifer Lauren Meyers | Physician Assistant | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2013-11-04 |
| 1578867842 | Lisa Maurer Must | Physician Assistant | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2010-12-30 |
| 1407184021 | Mark D Coram | Physician Assistant | 401 W Poplar St, Psmpg Sleep Medicine, Walla Walla, WA 99362-2846 | 2009-11-19 |
| 1861504243 | James A Hansen | Physician Assistant | 77 Wainwright Dr, Walla Walla, WA 99362 | 2006-08-31 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.