MICHELLE PHILLIPS (NPI# 1174976716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174976716 |
| Entity Type | Individual |
| Full Name | MICHELLE PHILLIPS |
| Credential | FNP |
| Practice Address |
6002 Slide Rd # D24 Lubbock TX 79414 |
| Mailing Address |
5219 City Bank Pkwy Ste 35 Lubbock TX 79407 |
| Practice Telephone | 8067610450 |
| Practice Fax Number | 8067967259 |
| Mailing Telephone | 8067610333 |
| Mailing Fax Number | 8067820097 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP131513 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356717177 | Michelle Phillips | Licensed Practical Nurse | 21219 Kenyon Dr, Maple Heights, OH 44137-2450 | 2015-08-16 |
| 1790022820 | Michelle Marie Phillips | Counselor | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2013-01-09 |
| 1063722585 | Michelle Evans Phillips | Nurse Practitioner | 116 Shirley Ln, Boiling Springs, PA 17007-9593 | 2010-10-18 |
| 1437328978 | Michelle Archer Phillips | Marriage & Family Therapist | 333 Fairhaven Ct, Newbury Park, CA 91320-5021 | 2008-02-28 |
| 1134313018 | Michelle Ann Phillips | Dietitian, Registered | 222 Pone Ln, Franklin, PA 16323-3542 | 2007-09-04 |
| 1376696948 | Michelle Marie Phillips | Physical Therapist | 1521 E Costilla Ave, Centennial, CO 80122-1381 | 2007-01-18 |
| 1891876108 | Michelle V. Phillips | Dentist | 3 Eaglet Ct, Pleasanton, CA 94566-6974 | 2006-10-17 |
| 1518519511 | Michelle R Phillips | Nurse Practitioner | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2019-07-10 |
| 1376007427 | Michelle Phillips | Nurse Practitioner | 211 Crawford Memorial Dr, Van Buren, AR 72956-5322 | 2019-01-23 |
| 1265930259 | Michelle Phillips | Counselor | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2018-01-25 |
| Street Address |
6002 SLIDE RD # D24 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114982030 | Rebecca Fant | Nurse Practitioner | 6002 Slide Rd # D24, Lubbock, TX 79414 | 2006-04-20 |
| 1992270466 | Honey Michelle Smith | Nurse Practitioner | 6002 Slide Rd # D24, Lubbock, TX 79414-4310 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911859 | Amber Marie Bowman | Nurse Practitioner | 5106 59th St, Lubbock, TX 79414-4312 | 2020-10-29 |
| 1609475219 | Jonathan-michael Aaron Sisson | Nurse Practitioner | 7421 104th St, Lubbock, TX 79424-6079 | 2020-10-23 |
| 1174134753 | Rebecca Stephanie Castillo | Nurse Practitioner | 5528 109th St, Lubbock, TX 79424-7680 | 2020-08-16 |
| 1508487398 | Mark Angelo Padolina | Nurse Practitioner | 1101 Oshkosh Ave, Lubbock, TX 79416-3810 | 2020-05-03 |
| 1841826724 | Leticia Luna Flores Cooper | Nurse Practitioner | 2511 60th St, Lubbock, TX 79413-5641 | 2020-03-23 |
| 1952931693 | Camella Dawn Ladd | Nurse Practitioner | 1307 Martin Luther King Blvd, Lubbock, TX 79403-5329 | 2020-01-22 |
| 1962042598 | Wendy Geraldine Avalos | Nurse Practitioner | 9304 Primrose Ave, Lubbock, TX 79424-6799 | 2020-01-11 |
| 1619516325 | Jessica Krueger | Nurse Practitioner | 5502 103rd St, Lubbock, TX 79424-6417 | 2019-12-27 |
| 1417596438 | Alicia Michelle Powell | Nurse Practitioner | 6102 82nd St Ste 14, Lubbock, TX 79424-0840 | 2019-12-23 |
| 1376181537 | Ashley Nicole White | Nurse Practitioner | 5614 100th St, Lubbock, TX 79424-6268 | 2019-12-18 |
| Find all providers in LUBBOCK | ||||
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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.