DIANNE LADON PHILLIPS-MILLER (NPI# 1336106830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336106830 |
| Entity Type | Individual |
| Full Name | DIANNE LADON PHILLIPS-MILLER |
| Other Name | DIANNE LADON WIMBERLEY |
| Credential | PH.D. |
| Practice Address |
814 S Washington St Moscow ID 83843-3049 |
| Practice Telephone | 2088820619 |
| Practice Fax Number | 2088824774 |
| Mailing Telephone | 2088820619 |
| Mailing Fax Number | 2088824774 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY 288 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | CIGNA | CBH2228116 | 01 |
| ID | BLUE CROSS OF IDAHO | N4460 | 01 |
| ID | APS HEALTHCARE | P9205 | 01 |
| Street Address |
814 S WASHINGTON ST |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881699536 | Beth Waddel | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2005-06-18 |
| 1720396252 | Chia-chi Hu | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2010-09-17 |
| 1164543666 | Kathy Lynn Kwiatkowski | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2007-04-02 |
| 1376688895 | Karen Alice Knoff | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2007-02-21 |
| 1174533525 | Alan J. Whitlock | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-08-08 |
| 1396762043 | Diana L Pals | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2006-07-17 |
| 1437139607 | Carolyn J. Wyatt | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-01-22 |
| 1902808736 | Dave Potter | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649764713 | Clarissa Marie Edge Richardson | Psychologist | University of Idaho Student Health Center 210, Moscow, ID 83844-0001 | 2018-06-21 |
| 1073748950 | Nancy Sasse Sasser | Psychologist | 1060 Showalter Rd, Moscow, ID 83843-9199 | 2009-05-21 |
| 1720396252 | Chia-chi Hu | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2010-09-17 |
| 1174533525 | Alan J. Whitlock | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-08-08 |
| 1437139607 | Carolyn J. Wyatt | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538583869 | Meier Clinics of California | Psychologist | 360 East Avenue, Suite 200, Ketchum, ID 83340 | 2014-02-06 |
| 1841542982 | Jeffrey Lee Elder II | Psychologist | 2335 Robison Dr, Rexburg, ID 83440-3310 | 2012-10-14 |
| 1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
| 1578732293 | Melissa A Boley | Psychologist | 333 South Main St Ste 104, Ketchum, ID 83340 | 2008-02-27 |
| 1336361336 | Jon E. Ashton | Psychologist | 2273 East Gala, Suite 100, Meridian, ID 83642-7289 | 2007-05-02 |
| 1184741282 | Gregory W. Mondin | Psychologist | 220 W State St, Boise, ID 83702-6052 | 2007-03-23 |
| 1528105624 | Laura Mckee Psy D L L C | Psychologist | 158 North 1st East Street, Driggs, ID 83422 | 2007-01-30 |
| 1619025251 | Dale Arlan Babcock | Psychologist | 1500 West Barrett Drive, Meridian, ID 83642 | 2007-01-08 |
| 1942368253 | Carl D. Haugen | Psychologist | 102 S 1st Ave Ste 202, Sandpoint, ID 83864-1398 | 2006-12-05 |
| 1124191895 | Laura Mckee | Psychologist | 158 North First East Street, Driggs, ID 83422 | 2006-11-17 |
| 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.