DEANNE L. PHILLIPS (NPI# 1982231684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982231684 |
Entity Type | Individual |
Full Name | DEANNE L. PHILLIPS |
Credential | MD |
Practice Address |
2900 E 29th St Ste 100 Bryan TX 77802-2623 |
Practice Telephone | 9794360485 |
Enumeration Date | 2020-03-24 |
Last Update Date | 2020-07-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083805253 | Deanne Lynn Phillips | Nurse Practitioner | 4411 E Kentucky Ave, #106, Glendale, CO 80246-2009 | 2007-08-05 |
Street Address |
2900 E 29TH ST STE 100 |
City | BRYAN |
State | TX |
Zip Code | 77802-2623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144725771 | Caitlin Carol Morgan | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2018-03-26 |
1669072708 | Sarah Greer | Nurse Practitioner | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-10-28 |
1326676123 | Calli Fry | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-29 |
1376170977 | Brianne Marie Rehg | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
1942837562 | Eric Ryan Penton | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
1013544634 | Ana Lucia Leon-arango | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
1174150783 | Carson Klein | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
1316574932 | Whitney L Jennings | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
1477189355 | Katelyn Jo Light | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-23 |
1871054544 | Katlyn Croft | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2019-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324448 | Radhika Shah | Student in an Organized Health Care Education/Training Program | 8447 Riverside Pkwy, Bryan, TX 77807 | 2020-04-06 |
1194350918 | Kirtan Patel | Student in an Organized Health Care Education/Training Program | 8447 Riverside Parkway, Bryan, TX 77087 | 2020-03-12 |
1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
1144725771 | Caitlin Carol Morgan | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2018-03-26 |
1053786715 | Katherine Elish | Student in an Organized Health Care Education/Training Program | 21 Gramercy Park Dr Apt 536, Bryan, TX 77802-4544 | 2015-12-07 |
1326676123 | Calli Fry | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-29 |
1376170977 | Brianne Marie Rehg | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
1942837562 | Eric Ryan Penton | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
1013544634 | Ana Lucia Leon-arango | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
1174150783 | Carson Klein | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
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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.