MS. JOAN SHELTON PHILLIPS (NPI# 1013032879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013032879 |
Entity Type | Individual |
Full Name | MS. JOAN SHELTON PHILLIPS |
Credential | FNPBC |
Practice Address |
951 Rockford St Mount Airy NC 27030-5323 |
Practice Telephone | 3367197993 |
Practice Fax Number | 3367196550 |
Mailing Telephone | 3367197993 |
Mailing Fax Number | 3367196550 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2011-12-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0050-02927 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7004010 | 05 | |
PTAN | 2592928 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841774650 | Joan M Phillips | Pharmacist | 4611 Assembly Dr Ste H, Lanham, MD 20706-4841 | 2018-09-18 |
1821592742 | Joan Phillips | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-03-23 |
1578902748 | Joan Catherine Phillips | Counselor | 28 Merrick Ave, Ste 9e, Merrick, NY 11566-3433 | 2013-06-20 |
1295874006 | Joan Marie Phillips | Pediatrics | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2007-02-06 |
1386746147 | Joan Baskin Phillips | Physical Therapist | 100 E Vine St, Murfreesboro, TN 37130-3734 | 2006-09-02 |
1720019318 | Joan Janelle Phillips | Advanced Practice Midwife | 2255 N Wyatt Dr, Tucson, AZ 85712 | 2006-07-05 |
Street Address |
951 ROCKFORD ST |
City | MOUNT AIRY |
State | NC |
Zip Code | 27030-5323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992799969 | Glenn Steven Pfitzner | Internal Medicine | 951 Rockford St, Mount Airy, NC 27030-5323 | 2005-09-07 |
1013377290 | Rockford Digestive Health Endoscopy Center | Clinic/Center | 951 Rockford St, Suite B, Mount Airy, NC 27030-5323 | 2016-03-01 |
1659388296 | Rockford Digestive Health Specialists, P.a. | Internal Medicine | 951 Rockford St, Mount Airy, NC 27030-5323 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
Find all providers in zip 27030 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248120 | Rachel Lynn Hauptman | Nurse Practitioner | 2945 Lonesome Dove Rd, Mount Airy, MD 21771-8025 | 2020-09-08 |
1447891163 | Roy Williams | Nurse Practitioner | 956 N Main St, Mount Airy, NC 27030-3747 | 2019-10-03 |
1487619896 | Rochelle P Dyer | Nurse Practitioner | 1502 S Main St Ste 206, Mount Airy, MD 21771-5363 | 2006-04-19 |
1245707272 | Lindsay Erdmann | Nurse Practitioner | 2702 Back Acre Cir Ste 290b, Mount Airy, MD 21771-7769 | 2018-10-29 |
1992271209 | Wendi Cheryl Helsabeck | Nurse Practitioner | 905 Rockford St, Mount Airy, NC 27030-5323 | 2018-10-15 |
1346715695 | Virginia Clement Meadows | Nurse Practitioner | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2018-10-12 |
1730687476 | Daniel Dean Watson | Nurse Practitioner | 1908 Caudle Dr Ste 100, Mount Airy, NC 27030-4322 | 2018-01-29 |
1508386889 | Kelley Manuel | Nurse Practitioner | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2017-06-27 |
1659753671 | Angel Luis Cartagena Jr. | Nurse Practitioner | 830 Rockford St, Mount Airy, NC 27030-5322 | 2015-06-25 |
1932580248 | Kelly C Key | Nurse Practitioner | 905 Rockford St, Mount Airy, NC 27030-5323 | 2015-06-11 |
Find all providers in MOUNT AIRY |
City | MOUNT AIRY |
Zip Code | 27030 |
Please comment or provide details below to improve the information on MS. JOAN SHELTON PHILLIPS.
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.