MS. MOENSANIA CARISA PHILLIPS


Address: 4004 Evans Road, Atlanta, GA 30340
Phone: 7065709103

MS. MOENSANIA CARISA PHILLIPS (NPI# 1003300757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003300757
Entity Type Individual
Full Name MS. MOENSANIA CARISA PHILLIPS
Credential NURSE PRACTITIONER
Practice Address 4004 Evans Road
Atlanta
GA 30340
Practice Telephone 7065709103
Mailing Telephone 7065709103
Enumeration Date 2018-06-17
Last Update Date 2019-08-27
NPI Deactivation Date 07/12/2019
NPI Reactivation Date 2019-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN260210 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4004 EVANS ROAD
City ATLANTA
State GA
Zip Code 30340

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326545534 Teri Lynn Hill Case Manager/Care Coordinator 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 2018-04-12
1174043541 Woohyeon Cho Acupuncturist 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 2017-06-26
1326599614 Tara Vanvranken Chiropractor 3166 Chestnut Dr Ste 100&200, Atlanta, GA 30340 2016-10-20
1073900056 Presly Ouy Pharmacist 3975 English Oak Dr, Atlanta, GA 30340 2015-04-17
1336389063 Jose R Muniz Licensed Practical Nurse 3061 Oakcliff Rd, 149, Doraville, GA 30340 2009-02-20
1316109200 John David Hamilton Radiology 4000 Dekalb Technology Pkwy Suite 200, Kaiser Permanente Dekalb Technology Center, Atlanta, GA 30340 2008-07-01
1104003979 Mariya A. Fishman Radiology 4000 Dekalb Technology Parkway, Ste. 400 Kaiser Permanente-dekalb Technology Center, Atlanta, GA 30340 2008-01-23
1346441029 Lana Marie Chase Clinical Nurse Specialist 3490 Bowling Green Way, Atlanta, GA 30340 2007-05-30
1225242399 Expert Pain Clinic LLC Chiropractor 3042 Oakciff Rd, Site210, Doraville, GA 30340 2007-05-09
1083830558 Nancy Whitford Lyford Speech-Language Pathologist 3932 Kendall Cove, Atlanta, GA 30340 2007-04-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City ATLANTA
Zip Code 30340

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Dataset Information

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.

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