MRS. KARYNTHIA A PHILLIPS (NPI# 1174518104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174518104 |
Entity Type | Individual |
Full Name | MRS. KARYNTHIA A PHILLIPS |
Credential | MSM,PA-C |
Practice Address |
2275 Murfreesboro Pike Suite 109-110 Nashville TN 37217-3341 |
Practice Telephone | 6158336898 |
Practice Fax Number | 6158336895 |
Mailing Telephone | 6158336898 |
Mailing Fax Number | 6158336895 |
Enumeration Date | 2005-09-15 |
Last Update Date | 2012-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA841 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 36692701 | 05 | |
TN | DUE WEST BCBS | 4137131 | 01 |
TN | TULLAHOMA BCBS | 4144463 | 01 |
TN | MEDICARE OTHER DUE WEST | 3669274 | 01 |
TN | TULLAHOMA AMERICHOICE | TN0101 | 01 |
TN | 3669270 | 05 | |
TN | 3669274 | 05 | |
TN | MEDICARE OTHER TULLAHOMA | 36692701 | 01 |
TN | DUE WEST BCBS | 4044007 | 01 |
TN | TULLAHOMA MEDICARE | 36692701 | 01 |
TN | NPI | 1174518104 | 01 |
TN | BCBS | 4131037 | 01 |
Street Address |
2275 MURFREESBORO PIKE SUITE 109-110 |
City | NASHVILLE |
State | TN |
Zip Code | 37217-3341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295001824 | Annie Baby Ninan | Nurse Practitioner | 2275 Murfreesboro Pike, Ste 110, Nashville, TN 37217-3341 | 2012-03-28 |
1952625808 | My Well Care | Family Medicine | 2275 Murfreesboro Pike, Ste 109 & 110, Nashville, TN 37217-3341 | 2010-03-22 |
1720202526 | Clarissa Nelson Arthur | Family Medicine | 2275 Murfreesboro Pike, Ste 109 and 110, Nashville, TN 37217-3341 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770184079 | Heart and Soul Hospice LLC | Hospice Care, Community Based | 402 Bna Corporate Dr., Suite 305, Nashville, TN 37217 | 2020-11-03 |
1194332148 | Talley Boarding Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2741 Smith Springs Rd, Nashville, TN 37217 | 2020-09-24 |
1114543154 | Optum Pharmacy 701, LLC | Pharmacy | 800 Airpark Center Drive, Suite 809, Nashville, TN 37217 | 2020-06-24 |
1346861309 | Rx Clinic LLC | Family Medicine | 1046 Mcgavock Pike Ste A, Nashville, TN 37217 | 2020-04-30 |
1366935777 | Horizon Star Healthcare, Inc. | Nursing Care | 2201 Murfreesboro Pike Ste D-109, Nashville, TN 37217 | 2018-06-11 |
1649790056 | Mid-cumberland Human Resource Agency | Non-emergency Medical Transport (VAN) | 1101 Kermit Drive, Ste 300, Nashville, TN 37217 | 2017-06-27 |
1699216762 | Rocky Mountain Holdings, LLC | Ambulance | 603 Hangar Ln, Nashville, TN 37217 | 2017-03-09 |
1053715870 | Ida Michelle Daughtry | Physical Therapist | 1120 Twin Circle Drive, Nashville, TN 37217 | 2014-10-22 |
1497158885 | Rebeccah Fore | Preferred Provider Organization | 331 Plus Park Blvd. #150, Nashville, TN 37217 | 2014-09-30 |
1326465089 | Eberechi Obi Onyejiaka | Custodial Care Facility | 525 Galesburg Ct., Nashville, TN 37217 | 2014-03-19 |
Find all providers in zip 37217 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
1457864985 | Shelby Bowman Johnson | Physician Assistant | 2410 Patterson St Bsmt Level, Nashville, TN 37203-1551 | 2017-11-06 |
1245609288 | Allegra Richardson | Physician Assistant | 6108 Nashua Ave, Nashville, TN 37209-1220 | 2015-09-21 |
1932504206 | Kara Katherine Gaw | Physician Assistant | 719 Thompson Ln Ste 23108, Nashville, TN 37204-7900 | 2014-10-29 |
1659775393 | Florida Practitioners, Inc | Physician Assistant | 4220 Wallace Ln, Nashville, TN 37215-3232 | 2014-10-09 |
1902237944 | Catherine M Nash | Physician Assistant | 1005 Dr. D.b. Todd, Jr. Blvd, 4th Floor, Nashville, TN 37208 | 2013-12-02 |
1871880310 | Cathy Hunt | Physician Assistant | 300 20th Ave N Ste 602, Nashville, TN 37203-5602 | 2011-07-05 |
1356406169 | Darren L Eisenhauer | Physician Assistant | 2201 Murphy Ave Ste 201, Nashville, TN 37203 | 2006-12-22 |
1881670073 | Timothy David Houle | Physician Assistant | 1 Averitt Express Drive, Nashville, TN 37211 | 2005-12-20 |
1043205362 | Hengameh Arab | Physician Assistant | 8078 Highway 100, Nashville, TN 37221-4212 | 2005-09-13 |
Find all providers in NASHVILLE |
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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.