MRS. AMANDA BROOKE PHILLIPS (NPI# 1083926554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083926554 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BROOKE PHILLIPS |
| Practice Address |
305 Highway 3283 Monticello KY 42633-9186 |
| Practice Telephone | 6063489353 |
| Mailing Telephone | 6063489353 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760099 | Amanda Leigh Phillips | Student in an Organized Health Care Education/Training Program | 301 N Walker Ave Apt 5205, Oklahoma City, OK 73102-1857 | 2020-05-04 |
| 1780211300 | Amanda Renee Phillips | Nurse Practitioner | 3034 Horton Ave, San Diego, CA 92103-6008 | 2020-03-24 |
| 1386274207 | Amanda Leigh Phillips | Massage Therapist | 1925 Golden Heights Rd Ste 108, Fort Worth, TX 76177-7074 | 2020-01-20 |
| 1386295244 | Amanda Phillips | Technician | 833 Witte Way, Greenbank, WA 98253-9605 | 2019-09-23 |
| 1306321005 | Amanda Phillips | Technician | 3621 Steeplechase Dr Apt 5201, Sherman, TX 75092-6116 | 2018-09-27 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1366809873 | Amanda Phillips | Dietitian, Registered | 3344 E Gold Dust Ave, Phoenix, AZ 85028-3947 | 2016-01-28 |
| 1457731622 | Amanda Phillips | Speech-Language Pathologist | 2011 N. Collins Blvd Ste. 711, Richardson, TX 75080 | 2015-06-03 |
| 1669851481 | Amanda Kay Phillips | Registered Nurse | 4667 Ranchview Cir, Huntington Beach, CA 92649-3862 | 2015-05-26 |
| 1124397997 | Amanda B Phillips | Behavioral Analyst | 1314 N Liberty Cir W, Greensburg, IN 47240-6647 | 2011-12-22 |
| Street Address |
305 HIGHWAY 3283 |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633-9186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1245376243 | Diagnostic Radiology of London | Specialist | 1455 E Hwy 90 By-pass Unit #4, Monticello, KY 42633 | 2007-01-29 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| Find all providers in zip 42633 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1700333812 | Brittany Adkins | Developmental Therapist | 7270 E Highway 90, Monticello, KY 42633-5840 | 2016-09-07 |
| 1780036335 | Pamela Jeannette Brown | Developmental Therapist | 310 Russell Brown Rd, Monticello, KY 42633-8650 | 2016-07-07 |
| 1023132586 | Jennifer Annette Baker | Developmental Therapist | 138 Tall Timbers Ln, Monticello, KY 42633-3248 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
| 1396379194 | Lori Allen | Developmental Therapist | 717 Carolyn St, Radcliff, KY 40160-1719 | 2020-03-02 |
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1669002598 | Darlene King | Developmental Therapist | 11314 Breeze Cir Unit 203, Louisville, KY 40272-4570 | 2020-01-20 |
| 1194365494 | Ruthann Smith | Developmental Therapist | 398 Rebecca Ann Ct, Elizabethtown, KY 42701-4333 | 2020-01-14 |
| 1437799301 | Lauren Hughes | Developmental Therapist | 4736 Sardis Rd, Mount Olivet, KY 41064-7636 | 2020-01-08 |
| 1336788306 | Hillary Brown | Developmental Therapist | 150 Hickory Dr, Madisonville, KY 42431-5843 | 2019-12-23 |
| 1730727330 | Megan Cantrell | Developmental Therapist | 6441 South Hwy, Salt Lick, KY 40371 | 2019-12-13 |
| 1417595059 | Lauren Ashley Creech | Developmental Therapist | 5617 Chestnutwood Way, Louisville, KY 40272-5007 | 2019-12-13 |
| 1285272039 | Beth Mccord | Developmental Therapist | 5028 Main St, Mayslick, KY 41055-8725 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
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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.