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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN260210 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4004 EVANS ROAD |
City | ATLANTA |
State | GA |
Zip Code | 30340 |
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 |
Find all providers in zip 30340 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
Find all providers in ATLANTA |
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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.