MS. BRENDA LEE PHILLIPS (NPI# 1306105705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306105705 |
| Entity Type | Individual |
| Full Name | MS. BRENDA LEE PHILLIPS |
| Credential | DNP PMHNP-BC, FNP-BC |
| Practice Address |
1451 N Lakeland Dr Meridian MS 39307-9020 |
| Mailing Address |
Po Box 4128 Meridian MS 39304-4128 |
| Practice Telephone | 6015818526 |
| Mailing Telephone | 6015818526 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R852932 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R852932 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08689796 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439732 | Brenda Phillips | Registered Nurse | 15 Suffern Place, Ste A, Suffern, NY 10901 | 2019-10-23 |
| 1942855945 | Brenda Phillips | Registered Nurse | 300 S Granite St, Prescott, AZ 86303-4253 | 2019-08-06 |
| 1346756939 | Brenda Renea Phillips | Case Manager/Care Coordinator | 2370 Buhne St, Eureka, CA 95501-3237 | 2017-12-19 |
| 1609310895 | Brenda Phillips | Case Manager/Care Coordinator | 2300 Foothill Blvd, Rock Springs, WY 82901-5610 | 2016-12-07 |
| 1760864110 | Brenda Phillips | Dentist | 8648 Old Troy Pike, Huber Heights, OH 45424-1069 | 2015-06-22 |
| 1568806529 | Brenda Mayda Phillips | Social Worker | 100 W. Griggs, Las Cruces, NM 88001 | 2013-04-22 |
| 1760762199 | Brenda Leblanc Phillips | Licensed Practical Nurse | 4615 Government St, Baton Rouge, LA 70806-5922 | 2011-08-17 |
| 1558520288 | Brenda Phillips | Registered Nurse | 72 Moody Ct, 101, Thousand Oaks, CA 91360-6067 | 2008-06-06 |
| 1912121914 | Brenda Susan Phillips | Counselor | 2001 The Alameda, San Jose, CA 95126-1136 | 2007-04-12 |
| 1245380815 | Brenda Phillips | Nurse Practitioner | 1306 E 38th St, Erie, PA 16504-3018 | 2007-01-12 |
| Street Address |
1451 N LAKELAND DR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518940964 | Stephen A Tramill | Family Medicine | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2005-11-21 |
| 1982075602 | Summer L Barry | Occupational Therapist | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2015-10-08 |
| 1356782551 | Amber Clanton | Speech-Language Pathologist | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2013-07-16 |
| 1982906228 | Olivia Reed | Occupational Therapist | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2010-11-18 |
| 1538498860 | Ashley Dawn George | Speech-Language Pathologist | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2009-12-16 |
| 1982844031 | Tara Clayton | Speech-Language Pathologist | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2009-03-03 |
| 1124277991 | Debbie Wegner | Occupational Therapist | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2008-09-16 |
| 1114085776 | Janet D Pugh | Nurse Practitioner | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1386020592 | Evelyn Michele Dunn | Nurse Practitioner | 10641 Highway 80 East, Meridian, MS 39307-9256 | 2015-08-11 |
| 1174909865 | Priscilla May Mathis | Nurse Practitioner | 4973 C A Pickard Rd, Meridian, MS 39301-9031 | 2015-08-04 |
| 1134497464 | Rebekah Danielle Nation | Nurse Practitioner | 1404 N Main St, Suite 101, Meridian, ID 83642-2799 | 2011-12-01 |
| 1053691980 | Carrie Kay Bowman | Nurse Practitioner | 1944 N Hillmont Ave, Meridian, ID 83646-1385 | 2011-08-23 |
| 1700865235 | Stacy Rae Andreacchio | Nurse Practitioner | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-01-12 |
| 1205461167 | Portia Elaine Nunley | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301-8205 | 2020-03-10 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1629600721 | Shauntae Causey | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2020-02-06 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on MS. BRENDA LEE 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.