MS. KELLY W. PHILLIPS (NPI# 1184158719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184158719 |
| Entity Type | Individual |
| Full Name | MS. KELLY W. PHILLIPS |
| Credential | ARNP |
| Practice Address |
3001 W Dr Martin Luther King Jr Blvd Fl 1 Tampa FL 33607-6307 |
| Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
| Practice Telephone | 8138704619 |
| Practice Fax Number | 8135548956 |
| Mailing Telephone | (727) 532-0002 |
| Mailing Fax Number | 7272664943 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
ARNP9300213 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021409700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305678 | Kelly Phillips | Occupational Therapist | 6447 Springfield Blvd, Oakland Gardens, NY 11364-2337 | 2020-08-05 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1104118355 | Kelly M Phillips | Veterinarian | 1808 S Randall Rd, Algonquin, IL 60102-5925 | 2011-05-06 |
| 1083857064 | Kelly Phillips | Registered Nurse | 10 Upland Rd, Belmont, MA 02478-2302 | 2009-04-07 |
| 1467662106 | Kelly G Phillips | Marriage & Family Therapist | 1035a Director Ct, Greenville, NC 27858-5996 | 2007-05-23 |
| 1073593349 | Kelly Phillips | Family Medicine | 821 N. Coleman St., 100, Prosper, TX 75078 | 2006-01-20 |
| 1871192906 | Kelly Phillips | Social Worker | 203 East St, Easthampton, MA 01027-1234 | 2020-10-20 |
| 1407453178 | Kelly R. Phillips | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-06 |
| 1518595859 | Kelly Phillips | Student in an Organized Health Care Education/Training Program | 5800 Hannum Ave Ste 105, Culver City, CA 90230-6553 | 2020-03-31 |
| 1619536513 | Kelly M Phillips | Speech-Language Pathologist | 889 N Aurora Rd, Aurora, OH 44202-9537 | 2019-06-13 |
| Street Address |
3001 W DR MARTIN LUTHER KING JR BLVD FL 1 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659344463 | Don E Eslin | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2006-02-10 |
| 1912545666 | Sarah Aitchison | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2019-12-12 |
| 1346710159 | Tina S Conner | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2018-12-05 |
| 1982174876 | Katherine Margaret Martinez | Physician Assistant | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2018-12-04 |
| 1801388830 | Joya Michelle Smith | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2018-06-05 |
| 1578081543 | Taylor Ann Kress | Physician Assistant | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2017-08-30 |
| 1568989317 | Kelly Lee Thatcher | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607 | 2017-08-23 |
| 1750831327 | Kari Michelle Hyotala | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2016-10-07 |
| 1316320963 | Syeeta Joyce Mckelvie | Physician Assistant | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2015-07-01 |
| 1639581655 | Shashikanth Gangu | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2014-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639292915 | Andrea Weiss | Registered Nurse | 10246 Shadow Branch Dr, Tampa, FL 33647-3116 | 2007-04-09 |
| 1568989317 | Kelly Lee Thatcher | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607 | 2017-08-23 |
| 1265750996 | Colleen Elizabeth Bartlett | Registered Nurse | 3001 W Dr Mlk Blvd, Suite 3012, Tampa, FL 33607-6307 | 2010-05-05 |
| 1992844963 | Mary Ann Hand | Registered Nurse | 7402 N 56th St, Suite 906, Tampa, FL 33617-7733 | 2007-02-06 |
| 1629124730 | Pamela Ruthann Tetlow | Registered Nurse | 7402 N 56th St, 906, Tampa, FL 33617-7733 | 2007-01-25 |
| 1265455174 | Rose Nieves | Registered Nurse | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1437701695 | Kristine Gromlovits | Registered Nurse | 210 N Palmetto Ave Ste A-102, Daytona Beach, FL 32114-7521 | 2019-07-09 |
| 1245890482 | Jordan Najjar | Registered Nurse | 1078 Jeffery St, Boca Raton, FL 33487-4110 | 2019-06-19 |
| 1740742006 | Suzan Tamesha Edwards | Registered Nurse | 2028 Winners Cir, North Lauderdale, FL 33068-5447 | 2019-04-04 |
| 1386164291 | Just In Time Nursing, Inc | Registered Nurse | 2100 S. Ocean Blvd, Suite# 106n, Palm Beach, FL 33480-5207 | 2017-06-21 |
| 1346773900 | Christiane Previlma | Registered Nurse | 2006 Cross Breeze Dr, Wellington, FL 33414-8075 | 2017-04-10 |
| 1871830588 | Nancy Carol Gonzalez | Registered Nurse | 11946 Sw 54th St, Cooper City, FL 33330-4242 | 2013-01-15 |
| 1558637009 | Kayse Mcgovern | Registered Nurse | 2505 Junior St, Orange City, FL 32763-8000 | 2012-03-29 |
| 1295961324 | Rosalee Cipolla | Registered Nurse | 7847 Oregold Dr, New Port Richey, FL 34654-6363 | 2009-06-03 |
| 1003055955 | Lissa West | Registered Nurse | 3606 Maclay Blvd Ste 102, Tallahassee, FL 32312 | 2009-02-17 |
| 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.