NICOLE RAE PHILLIPS (NPI# 1134688500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134688500 |
| Entity Type | Individual |
| Full Name | NICOLE RAE PHILLIPS |
| Credential | PA-C |
| Practice Address |
1265 Wayne Ave Ste 309 Indiana PA 15701-3501 |
| Mailing Address |
1945 Wilgus Rd Glen Campbell PA 15742-7220 |
| Practice Telephone | 7243491310 |
| Mailing Telephone | 7248405788 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA060737 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787540 | Nicole Phillips | Speech-Language Pathologist | 3520 State Route 132, Amelia, OH 45102-1718 | 2019-08-29 |
| 1558836924 | Nicole Phillips | Health Educator | 1040 Masterson St, Melbourne, FL 32935-6196 | 2018-10-11 |
| 1508364019 | Nicole Phillips | Behavioral Analyst | 2131 Hollywood Blvd, Hollywood Fl 33020, Hollywood, FL 33351-3335 | 2018-01-30 |
| 1639561574 | Nicole Phillips | Speech-Language Pathologist | 16232 Parkside Dr, Parker, CO 80134-3744 | 2015-03-02 |
| 1063771087 | Nicole Alexis Phillips | Plastic Surgery | 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085-9136 | 2012-05-10 |
| 1427658723 | Nicole Marie Phillips | Registered Nurse | 260 S Schmidt Rd Ste G, Bolingbrook, IL 60440-3087 | 2020-10-27 |
| 1124664263 | Nicole Phillips | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-11-25 |
| 1154885150 | Nicole Renee Phillips | Nurse Practitioner | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2019-01-24 |
| 1477096865 | Nicole Phillips | Nurse Practitioner | 1707 S Stephenson Ave, Suite 102, Iron Mountain, MI 49801-3667 | 2016-12-02 |
| 1184012106 | Nicole Phillips | Pharmacist | 9846 Glades Rd, Boca Raton, FL 33434-3917 | 2014-12-29 |
| Street Address |
1265 WAYNE AVE STE 309 |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366095341 | Sydney Nicole Harteis | Physician Assistant | 120 Irmc Dr Ste 110, Indiana, PA 15701-3674 | 2019-07-19 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1386074375 | Laura E Russell | Physician Assistant | 15 S 8th St Ste 200, Indiana, PA 15701-2776 | 2013-11-12 |
| 1407480643 | Priya Chaddah | Physician Assistant | 870 Hospital Rd, Indiana, PA 15701-3628 | 2020-02-26 |
| 1811529217 | Julia Bosco | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2020-02-04 |
| 1467928820 | Julianne Diana Knezovich | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2018-10-23 |
| 1730662156 | Michael James Hegemann | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2018-09-11 |
| 1831682350 | Megan Shugarts | Physician Assistant | 625 Rustic Lodge Rd, Indiana, PA 15701-3440 | 2018-06-09 |
| 1285185827 | Emily Gabriel | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2016-10-19 |
| 1558770701 | Heather Sieminkewicz | Physician Assistant | 120 Irmc Dr Ste 130, Indiana, PA 15701-3674 | 2014-08-12 |
| Find all providers in INDIANA | ||||
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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.