LONNIE PHILLIPS (NPI# 1053944504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053944504 |
| Entity Type | Individual |
| Full Name | LONNIE PHILLIPS |
| Practice Address |
1521 Merrill Dr Little Rock AR 72211-1821 |
| Mailing Address |
Po Box 251970 Little Rock AR 72225-1970 |
| Practice Telephone | 5016668686 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1521 MERRILL DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306089586 | Karnilla Anne Schingoethe-lee | Social Worker | 1521 Merrill Dr, Little Rock, AR 72211-1821 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164032702 | Christopher Ray Rouse | Peer Specialist | 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 | 2020-08-07 |
| 1538709290 | Kyle Ryan Keith | Peer Specialist | 25 Murphy Dr, Bella Vista, AR 72715-6913 | 2020-01-10 |
| 1588160634 | Terri Lashun Butler | Peer Specialist | 15 Azalea Loop, Conway, AR 72032-8522 | 2018-04-05 |
| 1548652332 | Jonathan Green | Peer Specialist | 710 Terry Ave, Springdale, AR 72764-6804 | 2015-03-03 |
| 1750994257 | Laretta Machelle Solomon | Peer Specialist | 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 | 2020-08-25 |
| 1679127450 | Donterries L Alexander | Peer Specialist | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-07-30 |
| 1437621018 | Gary Wade Carter | Peer Specialist | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2018-12-20 |
| 1588032684 | Michael William Jones | Peer Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-04 |
| 1487993655 | Judy Weaver | Peer Specialist | 350 Salem Rd Ste 1, Conway, AR 72034 | 2013-02-08 |
| 1386898765 | Raymond Zachary Bates | Peer Specialist | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2008-11-11 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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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.