BRENDA PHILLIPS (NPI# 1942855945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942855945 |
| Entity Type | Individual |
| Full Name | BRENDA PHILLIPS |
| Practice Address |
300 S Granite St Prescott AZ 86303-4253 |
| Mailing Address |
300 E Gurley St Prescott AZ 86301-3823 |
| Practice Telephone | 9287173241 |
| Mailing Telephone | 9284455400 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN214387 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439732 | Brenda Phillips | Registered Nurse | 15 Suffern Place, Ste A, Suffern, NY 10901 | 2019-10-23 |
| 1346756939 | Brenda Renea Phillips | Case Manager/Care Coordinator | 2370 Buhne St, Eureka, CA 95501-3237 | 2017-12-19 |
| 1609310895 | Brenda Phillips | Case Manager/Care Coordinator | 2300 Foothill Blvd, Rock Springs, WY 82901-5610 | 2016-12-07 |
| 1760864110 | Brenda Phillips | Dentist | 8648 Old Troy Pike, Huber Heights, OH 45424-1069 | 2015-06-22 |
| 1568806529 | Brenda Mayda Phillips | Social Worker | 100 W. Griggs, Las Cruces, NM 88001 | 2013-04-22 |
| 1306105705 | Brenda Lee Phillips | Nurse Practitioner | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2012-05-07 |
| 1760762199 | Brenda Leblanc Phillips | Licensed Practical Nurse | 4615 Government St, Baton Rouge, LA 70806-5922 | 2011-08-17 |
| 1558520288 | Brenda Phillips | Registered Nurse | 72 Moody Ct, 101, Thousand Oaks, CA 91360-6067 | 2008-06-06 |
| 1912121914 | Brenda Susan Phillips | Counselor | 2001 The Alameda, San Jose, CA 95126-1136 | 2007-04-12 |
| 1245380815 | Brenda Phillips | Nurse Practitioner | 1306 E 38th St, Erie, PA 16504-3018 | 2007-01-12 |
| Street Address |
300 S GRANITE ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-4253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124506530 | Joyce Anderson | Registered Nurse | 300 S Granite St, Prescott, AZ 86303-4253 | 2018-07-30 |
| 1245844075 | Ciara Miller | Speech-Language Pathologist | 300 S Granite St, Prescott, AZ 86303-4253 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124506530 | Joyce Anderson | Registered Nurse | 300 S Granite St, Prescott, AZ 86303-4253 | 2018-07-30 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1770830978 | Elizabeth Anne Kryskalla | Registered Nurse | 1800 N Williamson Valley Rd, Prescott, AZ 86305-5297 | 2012-08-07 |
| 1396052957 | Lavinia Lucescu | Registered Nurse | 1749 N Williamson Valley Rd, Prescott, AZ 86305-5219 | 2010-09-02 |
| 1952632648 | Amy E Houghton | Registered Nurse | 1944 Estrella Rd, Prescott, AZ 86305-5222 | 2010-01-20 |
| 1740468230 | Karin Anne Fetter | Registered Nurse | 1749 Williamson Vly Rd, Prescott, AZ 86305-5219 | 2008-02-06 |
| 1972787463 | Marybeth Cleland | Registered Nurse | 1050 Ruth St, Prescott, AZ 86301-1730 | 2007-12-20 |
| 1578780631 | Alison Eleri Stanford | Registered Nurse | 2309 Ewin Dr, Prescott, AZ 86305-4047 | 2007-04-19 |
| 1902022858 | Carolyn Bourgois | Registered Nurse | 300 E Gurley St, Washington Traditional School, Prescott, AZ 86301-3823 | 2007-04-18 |
| Find all providers in PRESCOTT | ||||
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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.