LISA D PHILLIPS (NPI# 1275881823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275881823 |
| Entity Type | Individual |
| Full Name | LISA D PHILLIPS |
| Credential | FNP-BC |
| Practice Address |
1436 Broadrick Dr Suite B Dalton GA 30720-3009 |
| Practice Telephone | 7062263434 |
| Practice Fax Number | 7062264820 |
| Mailing Telephone | 7062263434 |
| Mailing Fax Number | 7062264820 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2015-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN247137 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | APN16722 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP | 03279387 | 01 |
| GA | 003164332A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255580 | Lisa Kay Phillips | Behavior Technician | 22969 N Riverfront Dr, Mankato, MN 56001-5992 | 2020-02-04 |
| 1023590239 | Lisa Phillips | Rehabilitation Counselor | 6629 Spring Mill Cir, Baltimore, MD 21207-5579 | 2018-09-04 |
| 1407342298 | Lisa Phillips | Acupuncturist | 4995 Golden Foothill Pkwy Ste 5, El Dorado Hills, CA 95762-9645 | 2018-07-05 |
| 1184942542 | Lisa Cole Phillips | Massage Therapist | 5000 Back Square Dr Ste A2, Owensboro, KY 42301-7411 | 2010-05-10 |
| 1770791956 | Lisa Datta Phillips | Dentist | 14422 Orchard Pkwy, Ste 200, Westminster, CO 80023-9273 | 2007-05-19 |
| 1417172362 | Lisa Kay Phillips | Counselor | 120 N Market St, Oskaloosa, IA 52577-2827 | 2007-04-16 |
| 1265552855 | Lisa Ann Phillips | Specialist | 199 Hoffman Ave, Auburn, CA 95603-4209 | 2007-03-29 |
| 1942358346 | Lisa Phillips | Speech-Language Pathologist | 1048 Lancaster St, Leominster, MA 01453-4559 | 2007-01-08 |
| 1376610154 | Lisa Marie Phillips | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2006-11-29 |
| 1497378269 | Lisa Phillips | Social Worker | 1348 Bainbridge St, Philadelphia, PA 19147-1810 | 2020-05-27 |
| Street Address |
1436 BROADRICK DR SUITE B |
| City | DALTON |
| State | GA |
| Zip Code | 30720-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438905 | Philip Bates Bailey | Specialist | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2005-09-20 |
| 1881060002 | Sarah J Gregory | Nurse Practitioner | 1436 Broadrick Dr, Dalton, GA 30720-3009 | 2015-08-12 |
| 1699009878 | Dalton Cardiology | Nurse Practitioner | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3176 | 2009-09-22 |
| 1083739866 | Kristina L Hall | Nurse Practitioner | 1436 Broadrick Dr, Dalton, GA 30720-3009 | 2007-03-20 |
| 1962544684 | Joanne Marion Whitehead | Nurse Practitioner | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2007-02-12 |
| 1669491619 | Dalton Cardiology, P.C. | Internal Medicine | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2006-07-19 |
| 1861426983 | Gary W. Olson | Internal Medicine | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2006-07-11 |
| 1649201955 | John H Poehlman | Internal Medicine | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2006-07-05 |
| 1689604472 | Stephen G Rohn | Internal Medicine | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2006-07-04 |
| 1164411880 | Leonard J Hays IIi | Internal Medicine | 1436 Broadrick Dr, Dalton, GA 30720-3009 | 2005-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548741614 | Alison Mcbride | Nurse Practitioner | 1411 Chattanooga Ave Ste 101, Dalton, GA 30720-2673 | 2018-08-27 |
| 1689034621 | Rhonda Leonard Harrison | Nurse Practitioner | 1300 Cleo Way, Dalton, GA 30720-8442 | 2016-03-03 |
| 1568554632 | Pamela S Abernathy | Nurse Practitioner | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-09-28 |
| 1497780464 | Maria Anz Kalick | Nurse Practitioner | 2659 Abutment Road, Dalton, GA 30720 | 2006-07-11 |
| 1306803804 | Marie N Stamm | Nurse Practitioner | 2709 Airport Rd, Suite 101, Dalton, GA 30721-0252 | 2006-04-27 |
| 1164411559 | Vicki R Deweese | Nurse Practitioner | 475 Reed Rd Ste 104, Dalton, GA 30720-6307 | 2005-10-18 |
| 1225669583 | Victoria Alexus Smith | Nurse Practitioner | 1411 Chattanooga Ave, Dalton, GA 30720-2673 | 2020-01-27 |
| 1356807994 | Rory Mccullough | Nurse Practitioner | 1109 Burleyson Rd Ste 202, Dalton, GA 30720-3094 | 2019-02-19 |
| 1619480399 | Lindsay Inger Bright | Nurse Practitioner | 1506 Professional Court, Dalton, GA 30720 | 2017-11-16 |
| 1841703477 | James Neal Micheff | Nurse Practitioner | 1107 Memorial Dr Ste 201, Dalton, GA 30720-8662 | 2017-11-06 |
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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.