KAITLIN MARIE FAHEY PHILLIPS (NPI# 1982258414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982258414 |
| Entity Type | Individual |
| Full Name | KAITLIN MARIE FAHEY PHILLIPS |
| Practice Address |
202 E Jefferson Ave Whitney TX 76692-2398 |
| Practice Telephone | 2546942221 |
| Practice Fax Number | 2546949978 |
| Mailing Telephone | 2546942221 |
| Mailing Fax Number | 2546949978 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12695 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Posey Ave, Clifton, TX 766341200 | 2546758621 | 2546752254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871112797 | Kaitlin Marie Phillips | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-04-10 |
| Street Address |
202 E JEFFERSON AVE |
| City | WHITNEY |
| State | TX |
| Zip Code | 76692-2398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689667826 | Clayton Pickering | Family Medicine | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2005-08-23 |
| 1356973192 | Jamie Lee | Nurse Practitioner | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2020-02-10 |
| 1720540255 | Bosque County Hospital District | Clinic/Center | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2019-04-03 |
| 1215452578 | Stacy Johnson | Registered Nurse | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2017-08-08 |
| 1336546266 | Goodall-witcher Hospital Authority | Physician Assistant | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2014-11-20 |
| 1053744862 | Lake Whitney Physicians Clinic LLC | Family Medicine | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2013-08-15 |
| 1891044780 | Steven Sean Campbell | Physician Assistant | 202 E Jefferson Ave, Whitney, TX 76692 | 2012-09-06 |
| 1700192697 | Heather Faye Clinton | Nurse Practitioner | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2010-08-30 |
| 1871779090 | Randall D Henderson Do Pa | Family Medicine | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2008-01-17 |
| 1164608386 | Clayton Pickering Do, Pa. | Family Medicine | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2008-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629636360 | Lauren E Montgomery | Physical Therapy Assistant | 105 S San Marcos St, Whitney, TX 76692 | 2019-05-29 |
| 1568883239 | City of Whitney | Ambulance | 115 West Jefferson Street, Whitney, TX 76692 | 2013-12-26 |
| 1427300268 | Rick E Cofer Dds Pa | Dentist | 1502 N. Brazos, Whitney, TX 76692 | 2012-10-03 |
| 1104051259 | Kiley Aaron Smith | Dentist | 1502 North Brazos, Whitney, TX 76692 | 2009-05-19 |
| 1043402308 | Lakeside Physicians Management LLC | Family Medicine | 1512 North Brazos, Whitney, TX 76692 | 2007-08-10 |
| 1508063504 | Whitney Family Eyecare P.C. | Eyewear Supplier (Equipment, not the service) | 1221 N. Brazos Street, Suite B, Whitney, TX 76692 | 2007-07-02 |
| 1962624122 | Steven W Vaughan | Counselor | 101 E Washington Ave Ste 125, Whitney, TX 76692 | 2007-05-03 |
| 1588703557 | Lake Whitney Physical Therapy PC | Physical Therapist | 204 East Jefferson, Whitney, TX 76692 | 2007-02-06 |
| 1841339132 | Todd J Wagner | Physical Therapist | 204 E Jefferson, Whitney, TX 76692 | 2007-02-05 |
| 1114083037 | Pyramid Healthcare Corp | Skilled Nursing Facility | 1244 State Park Road, Whitney, TX 76692 | 2006-12-28 |
| Find all providers in zip 76692 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598249906 | Blaine Jenae Eubank | Physician Assistant | 1314 N Brazos St, Whitney, TX 76692-2010 | 2018-09-20 |
| 1336546266 | Goodall-witcher Hospital Authority | Physician Assistant | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2014-11-20 |
| 1891044780 | Steven Sean Campbell | Physician Assistant | 202 E Jefferson Ave, Whitney, TX 76692 | 2012-09-06 |
| 1942319033 | Thad Houseman | Physician Assistant | 202 E Jefferson Ave, Whitney, TX 76692-2398 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.