CARRI L PHILLIPS (NPI# 1164633087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164633087 |
| Entity Type | Individual |
| Full Name | CARRI L PHILLIPS |
| Credential | A.R.N.P. |
| Practice Address |
5834 Berryhill Rd Milton FL 32570-8275 |
| Mailing Address |
2337 Majestic Dr Pensacola FL 32534-9555 |
| Practice Telephone | 8506235437 |
| Practice Fax Number | 8506267803 |
| Mailing Telephone | 8509686567 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP 1326922 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | ARNP 1326922 | 01 |
| Street Address |
5834 BERRYHILL RD |
| City | MILTON |
| State | FL |
| Zip Code | 32570-8275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225123912 | John Arthur Vanostenbridge | Pediatrics | 5834 Berryhill Rd, Milton, FL 32570-8275 | 2006-10-04 |
| 1427144153 | Emerald Coast Pediatrics P.a. | Pediatrics | 5834 Berryhill Rd, Milton, FL 32570-8275 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
| 1962951202 | Sandryn Marie Taylor- Wysiekierski | Nurse Practitioner | 424 Mulberry St, Milton, DE 19968-1628 | 2016-09-28 |
| 1225477615 | Kari Joan Mckinley | Nurse Practitioner | 11 Haydenberry Dr Ste 41, Milton, VT 05468-3848 | 2013-06-18 |
| 1194058826 | April Belle Archer | Nurse Practitioner | 5520 Stewart St, Milton, FL 32570-4304 | 2009-09-14 |
| 1669572848 | Kelly Susan Phillips | Nurse Practitioner | 424 Mulberry St, Suite 1, Milton, DE 19968-1628 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
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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.