PEGGY MARIE PHILLIPS (NPI# 1134429046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134429046 |
| Entity Type | Individual |
| Full Name | PEGGY MARIE PHILLIPS |
| Credential | RN-BC, ANP-C |
| Practice Address |
17448 Highway 3 Suite 136 Webster TX 77598-4197 |
| Mailing Address |
17448 Highway 3 Suite 136 Webster TX 77598-4141 |
| Practice Telephone | 2813384443 |
| Practice Fax Number | 2813388821 |
| Mailing Telephone | 2813384443 |
| Mailing Fax Number | 2813388821 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2016-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
518144 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1010004 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 280521003 | 05 | |
| TX | RAILROAD MEDICARE | P00988009 | 01 |
| TX | MEDICARE RR | P01197024 | 01 |
| TX | 280521002 | 05 | |
| TX | 280521004 | 05 | |
| TX | 280521001 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 832N36 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 1134429046 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912993510 | Peggy S. Phillips | Nurse Practitioner | 411 Morgantown St., Kingwood, WV 26537 | 2005-09-20 |
| 1255941852 | Peggy Phillips | Technician | 320 Central St, Elkins, WV 26241-3115 | 2020-08-07 |
| Street Address |
17448 HIGHWAY 3 SUITE 136 |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425195 | Marie Denise Jarbath | Physician Assistant | 17448 Highway 3, Ste 136, Webster, TX 77598-4141 | 2005-05-23 |
| 1568982452 | Jillian Faith Human | Nurse Practitioner | 17448 Highway 3, Webster, TX 77598-4197 | 2017-06-22 |
| 1881904027 | Pranav H Bhakta Md Pa | Internal Medicine | 17448 Highway 3, #160, Webster, TX 77598-4197 | 2010-10-20 |
| 1952633711 | Space City Physical Therapy LLC | Occupational Therapist | 17448 Highway 3, Suite 130, Webster, TX 77598-4197 | 2010-02-04 |
| 1265763577 | Nancy F. Gioielli | Physical Therapy Assistant | 17448 Highway 3, Suite 130, Webster, TX 77598-4197 | 2010-01-26 |
| 1598096042 | David W. Evans | Physical Therapist | 17448 Highway 3, Suite 130, Webster, TX 77598-4141 | 2010-01-22 |
| 1376874834 | Ruth Adzuara | Physical Therapist | 17448 Highway 3, Suite 130, Webster, TX 77598-4197 | 2010-01-22 |
| 1811228372 | Kiiri Alfton | Physical Therapy Assistant | 17448 Highway 3, Suite 130, Webster, TX 77598-4197 | 2010-01-22 |
| 1164675377 | Douglas E. Webb Dpm & Associates Pa | Podiatrist | 17448 Highway 3, Suite 100, Webster, TX 77598-4143 | 2008-10-31 |
| 1477768554 | Monitor Medical, Inc. | Durable Medical Equipment & Medical Supplies | 17448 Highway 3, #150, Webster, TX 77598 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627312 | Diana Pham | Nurse Practitioner | 1015 W. Medical Center Blvd. #1300, Webster, TX 77598 | 2015-04-29 |
| 1154580256 | Paul Martin Dorscheid | Nurse Practitioner | 41 Peaceful Harbor Ln, Webster, NY 14580-4609 | 2008-06-03 |
| 1699779967 | Debra Lea Schipper | Nurse Practitioner | 1550 Empire Blvd, Webster, NY 14580-2104 | 2005-06-02 |
| 1568858355 | Sumit Trivedi | Nurse Practitioner | 500 N Kobayashi Ste A, Webster, TX 77598-4722 | 2015-04-08 |
| 1043602378 | Jyothi Mepparamabth | Nurse Practitioner | 450 W Medical Center Blvd, Webster, TX 77598-4234 | 2015-02-24 |
| 1255570271 | Shannon Leigh Winn | Nurse Practitioner | 250 Blossom St, Suite 400, Webster, TX 77598-4204 | 2009-02-13 |
| 1518134931 | Monina Tubat | Nurse Practitioner | 530 Orchard St, Webster, TX 77598-4110 | 2008-05-14 |
| 1306967864 | Susan P Murtagh | Nurse Practitioner | 340 Thompson Rd, Suite 108, Webster, MA 01570-1509 | 2007-04-03 |
| 1588616833 | Shannon E Pearce | Nurse Practitioner | 711 W Bay Area Blvd, #500, Webster, TX 77598-4043 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
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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.