JEANNE CAROL PHILLIPS (NPI# 1285657064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285657064 |
| Entity Type | Individual |
| Full Name | JEANNE CAROL PHILLIPS |
| Credential | CNP |
| Practice Address |
4640 Jefferson Ln Ne Albuquerque NM 87109-2116 |
| Mailing Address |
6320 Riverside Plaza Ln Nw Ste B Albuquerque NM 87120-1710 |
| Practice Telephone | 5058436168 |
| Practice Fax Number | 5057921978 |
| Mailing Telephone | 5058436168 |
| Mailing Fax Number | 5057921978 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R16377 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 90874 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515449 | Jeanne Vesey Phillips | Internal Medicine | 30 Garden Ct, B, Monterey, CA 93940-5302 | 2005-08-22 |
| Street Address |
4640 JEFFERSON LN NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518920099 | Mary Therese Cunnane | Obstetrics & Gynecology | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2006-04-07 |
| 1306454400 | Michael-ann Gabaldon | Advanced Practice Midwife | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2020-07-15 |
| 1881143923 | Cathleen Hewlett-masser | Advanced Practice Midwife | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2016-09-30 |
| 1235515719 | Stephanie Levy | Advanced Practice Midwife | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2015-08-06 |
| 1881037406 | Elisabeth Obenauf | Obstetrics & Gynecology | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2013-04-12 |
| 1639466444 | Katherine Marie Nelson | Obstetrics & Gynecology | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2011-06-30 |
| 1548550577 | Samara Knight | Obstetrics & Gynecology | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2011-04-11 |
| 1023269651 | Seddah Moya | Obstetrics & Gynecology | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2116 | 2008-10-01 |
| 1508907452 | Kristina Marie Chongsiriwatana | Obstetrics & Gynecology | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2116 | 2007-02-12 |
| 1316088263 | Stephanie L Philippides | Obstetrics & Gynecology | 4640 Jefferson Ln Ne, Albuquerque, NM 87109-2116 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386938553 | Dina Jene Reid | Nurse Practitioner | 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 | 2011-06-06 |
| 1174645113 | Joanne Marlene Williams | Nurse Practitioner | 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 | 2007-04-03 |
| 1538175377 | Ethel Mae Jorgensen | Nurse Practitioner | 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 | 2006-08-01 |
| 1215953302 | Amy Jo Levi | Nurse Practitioner | Msc 09 5350, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-07-14 |
| 1467441709 | Donna Ann Ketcheson | Nurse Practitioner | 801 Encino Pl Ne Ste D5, Albuquerque, NM 87102-2644 | 2005-10-19 |
| 1003441601 | Lauren Larkin | Nurse Practitioner | 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 | 2020-03-04 |
| 1912494311 | Grace Jacobson | Nurse Practitioner | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2018-04-20 |
| 1245611011 | Julie Ann Hall | Nurse Practitioner | University of New Mexico Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2015-06-17 |
| 1003255639 | Nicole Ann Badillo | Nurse Practitioner | 4010 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2013-06-17 |
| 1245515907 | Erin Rae Flint | Nurse Practitioner | 201 Cedar Se #405, 405, Albuquerque, NM 87106-3392 | 2011-10-13 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on JEANNE CAROL 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.