MRS. KIMBERLY C PHILLIPS (NPI# 1265552442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265552442 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY C PHILLIPS |
Credential | FNP |
Practice Address |
3250 Gordonville Rd Suite 301 Cape Girardeau MO 63703-5056 |
Mailing Address |
Po Box 843225 Kansas City MO 64184-3225 |
Practice Telephone | 5733349641 |
Practice Fax Number | 5733313120 |
Mailing Telephone | 7086331234 |
Mailing Fax Number | 7083427100 |
Enumeration Date | 2007-03-30 |
Last Update Date | 2010-05-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
151686 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | ANTHEM BCBS | 623723 | 01 |
MO | RR MCR | P00779924 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316387764 | Kimberly Dawn Phillips | Nurse Practitioner | 1180 Glensboro Rd, Lawrenceburg, KY 40342-9034 | 2013-06-30 |
1225377906 | Kimberly Myers Phillips | Physical Therapist | 145 S Granados Ave, Solana Beach, CA 92075-2008 | 2013-01-31 |
1366754095 | Kimberly Ann Phillips | Behavioral Analyst | 1920 Thoreau Dr N Ste 180, Schaumburg, IL 60173-4151 | 2010-07-10 |
1699004135 | Kimberly Clark Phillips | Registered Nurse | 9464 Unionville Rd, Plain City, OH 43064-9734 | 2009-12-11 |
1790985547 | Kimberly Dawn Phillips | Occupational Therapist | 222 Leon Dr, Greenville, NC 27858-9745 | 2007-07-19 |
1245394071 | Kimberly Phillips | Social Worker | 416 Fairley St, Suite E, Laurinburg, NC 28352-3612 | 2006-12-19 |
1396855177 | Kimberly Dawn Phillips | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 700, Charleston, WV 25304-1230 | 2006-08-30 |
1790705937 | Kimberly Phillips | Nurse Practitioner | 1941 Johnson, Suite 301, San Luis Obispo, CA 93401-4175 | 2006-07-20 |
1497786933 | Kimberly Anne Phillips | Nurse Practitioner | 7670 W Sahara Ave Ste 2, Las Vegas, NV 89117-2751 | 2006-07-05 |
1457359192 | Kimberly Ann Phillips | Family Medicine | 1312 E Lumsden Rd, Brandon, FL 33511-6717 | 2005-07-07 |
Street Address |
3250 GORDONVILLE RD SUITE 301 |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63703-5056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376537043 | Joseph Francis Mayo Jr. | Surgery | 3250 Gordonville Rd, Suite 358, Cape Girardeau, MO 63703-5056 | 2005-09-08 |
1952749988 | Brain and Neurospine Clinic of Missouri | Specialist | 3250 Gordonville Rd, Cape Girardeau, MO 63703-5056 | 2013-06-12 |
1942556089 | Jean Paula Diemer | Pediatrics | 3250 Gordonville Rd, Suite 301, Cape Girardeau, MO 63703-5056 | 2012-07-26 |
1083866388 | Fatima Judith Pais | Physician Assistant | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-10-17 |
1528215332 | Heartland Spine, LLC | Neurological Surgery | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-08-22 |
1770740516 | Brandon James Scott | Neurological Surgery | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-05-20 |
1639393275 | Lorelei Leible | Nurse Practitioner | 3250 Gordonville Rd, Suite 301, Cape Girardeau, MO 63703-5056 | 2007-04-13 |
1023147576 | Craig Clippard | Pharmacist | 3250 Gordonville Rd, Suite 101, Cape Girardeau, MO 63703-5056 | 2007-03-02 |
1467580969 | Shandy Renee Scholl | Pharmacist | 3250 Gordonville Rd, Suite 101, Cape Girardeau, MO 63703-5056 | 2007-02-28 |
1609903509 | Sarah Jane Mirgaux | Pharmacist | 3250 Gordonville Rd, Ste. 101, Cape Girardeau, MO 63703-5056 | 2007-02-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
Find all providers in zip 63703 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144700147 | Taylor Babich | Nurse Practitioner | 1021 Emily Ct, Cape Girardeau, MO 63701-4569 | 2018-08-19 |
1659882546 | Morgan Reiminger | Nurse Practitioner | 171 Red Hawk Rdg, Cape Girardeau, MO 63701-8380 | 2017-10-18 |
1902316938 | Rebecca Susanne Williamson | Nurse Practitioner | 150 S Mount Auburn Rd Ste 320, Cape Girardeau, MO 63703-4911 | 2017-10-04 |
1194266528 | Janet Stewart | Nurse Practitioner | 1620 Scivally Dr, Cape Girardeau, MO 63701-2431 | 2017-03-18 |
1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
1497104814 | Emily Greenley | Nurse Practitioner | 150 S Mount Auburn Rd Ste 418, Cape Girardeau, MO 63703-4911 | 2016-06-07 |
1407125370 | Jessica Sarah Suhre | Nurse Practitioner | 1701 Lacey Street, Hospitalist Dept, Cape Girardeau, MO 63701 | 2011-12-22 |
1144559246 | Lisa M. Baker | Nurse Practitioner | 37 Doctors Park Ste 1, Cape Girardeau, MO 63703-4903 | 2009-12-18 |
1396072120 | Heather Miller | Nurse Practitioner | 2116 Megan Drive, Suite 102, Cape Girardeau, MO 63701 | 2009-11-16 |
1184857872 | Marie Nichole Wright | Nurse Practitioner | 817 S Mount Auburn Rd, Suite 100, Cape Girardeau, MO 63703-6383 | 2009-08-27 |
Find all providers in CAPE GIRARDEAU |
City | CAPE GIRARDEAU |
Zip Code | 63703 |
Please comment or provide details below to improve the information on MRS. KIMBERLY C PHILLIPS.
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.