PHILLIP L GUILLORY (NPI# 1053660217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053660217 |
| Entity Type | Individual |
| Full Name | PHILLIP L GUILLORY |
| Credential | M.S., CCC-SLP |
| Practice Address |
100 Sun Ave Ne Ste 650 Albuquerque NM 87109 |
| Mailing Address |
100 Sun Ave Ne Ste 650 Albuquerque NM 87109-4670 |
| Practice Telephone | 5058356868 |
| Practice Fax Number | 8444108875 |
| Mailing Telephone | 5058356868 |
| Mailing Fax Number | 8444108875 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5026 | NM | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2211 Lomas Blvd Ne, Speech Pathology Dept, Albuquerque, NM 871062745 | 5052722455 |
| Street Address |
100 SUN AVE NE STE 650 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134224959 | Amy Garcia | Obstetrics & Gynecology | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2006-09-14 |
| 1487289773 | Access Endocrinology LLC | Internal Medicine | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2020-03-06 |
| 1700418019 | Ericka Lynne Mitchell | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2020-02-05 |
| 1073144143 | Rebecca Alicia Moser | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2020-01-28 |
| 1780226324 | John Jeffrey Lenz | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-10-15 |
| 1013558477 | Sabrina Leigh Ann Leyba | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-10-07 |
| 1205477221 | Brianna Sides | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-10-01 |
| 1104474436 | Yvonne Rivera | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-08-29 |
| 1720634330 | Ginny Green Lcsw LLC | Social Worker | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-08-11 |
| 1326693078 | Victoria Rosenberger | Behavioral Analyst | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1083245427 | Jacquelyn Garcia | Speech-Language Pathologist | 1127 Univ Blvd Ne, Albuquerque, NM 87102-1740 | 2020-02-03 |
| 1346882842 | Amy Taylor Neel | Speech-Language Pathologist | Msc01 1195 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-10-16 |
| 1770141590 | Valentina Hardison | Speech-Language Pathologist | 5924 Anaheim Ave Ne Ste B, Albuquerque, NM 87113-1879 | 2019-06-05 |
| 1629530506 | Hyuna Kim | Speech-Language Pathologist | 1839 Kelso Ct Se, Albuquerque, NM 87123-2291 | 2019-04-01 |
| 1588135586 | Holly E Stewart | Speech-Language Pathologist | 10321 Oakland Ave Ne, Albuquerque, NM 87122-3931 | 2018-12-17 |
| 1376038588 | Maja Erika Whitaker | Speech-Language Pathologist | 9600 Peralta Rd Ne, Albuquerque, NM 87109-6360 | 2018-06-29 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.