BRENDA RENEA PHILLIPS (NPI# 1346756939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346756939 |
| Entity Type | Individual |
| Full Name | BRENDA RENEA PHILLIPS |
| Practice Address |
2370 Buhne St Eureka CA 95501-3237 |
| Mailing Address |
3541 High St Eureka CA 95503-4914 |
| Practice Telephone | 7074425721 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| 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 |
| 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 |
| 1306105705 | Brenda Lee Phillips | Nurse Practitioner | 1451 N Lakeland Dr, Meridian, MS 39307-9020 | 2012-05-07 |
| 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 |
2370 BUHNE ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124046008 | Crestwood Behavioral Health, Inc. | Intermediate Care Facility, Mental Illness | 2370 Buhne St, Eureka, CA 95501-3237 | 2006-07-18 |
| 1992331656 | Kiandria Weaver | Community Health Worker | 2370 Buhne St, Eureka, CA 95501-3237 | 2020-03-13 |
| 1851939888 | Susan Kathleen Hastings | Community Health Worker | 2370 Buhne St, Eureka, CA 95501-3237 | 2019-12-20 |
| 1700424751 | Robert Loy Pitts Jr. | Case Manager/Care Coordinator | 2370 Buhne St, Eureka, CA 95501-3237 | 2019-12-19 |
| 1306304613 | Nanette Joan Dusi | Case Manager/Care Coordinator | 2370 Buhne St, Eureka, CA 95501-3237 | 2019-03-05 |
| 1518423144 | Margaret Maxine Stevens | Registered Nurse | 2370 Buhne St, Eureka, CA 95501-3237 | 2019-02-19 |
| 1538631312 | Blythe Queren Matias | Community Health Worker | 2370 Buhne St, Eureka, CA 95501-3237 | 2018-12-18 |
| 1407327554 | Erin Cotton | Case Manager/Care Coordinator | 2370 Buhne St, Eureka, CA 95501-3237 | 2018-12-16 |
| 1992270607 | Emilia Bumgardner | Community Health Worker | 2370 Buhne St, Eureka, CA 95501-3237 | 2018-10-09 |
| 1629553854 | Alexandra Noelle Cruz | Community Health Worker | 2370 Buhne St, Eureka, CA 95501-3237 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
| 1144673419 | Maria Nordmann | Case Manager/Care Coordinator | 4632 Meramec Blvd, Eureka, MO 63025-2300 | 2016-07-21 |
| 1801217369 | Dorlyn Woods | Case Manager/Care Coordinator | 2738 H St, Eureka, CA 95501-4404 | 2013-12-30 |
| 1780014845 | Emily Page Quackenbush | Case Manager/Care Coordinator | 3130 Lowell St, Eureka, CA 95503-5219 | 2013-11-26 |
| 1326389693 | Tiffany Maldonado | Case Manager/Care Coordinator | 921 S St, Eureka, CA 95501-2063 | 2013-03-11 |
| 1629320254 | Terra Yvette Hescock | Case Manager/Care Coordinator | 2413 2nd Street, Eureka, CA 95501 | 2012-10-05 |
| 1740506609 | Kathryn Maria Schell Walkley | Case Manager/Care Coordinator | 504 Silva Ave, Eureka, CA 95503-5108 | 2010-04-15 |
| 1174755250 | Tanya Parker | Case Manager/Care Coordinator | 2379 Myrtle Ave, Eureka, CA 95501-3327 | 2009-08-21 |
| 1902056633 | Pamela Christine Brown | Case Manager/Care Coordinator | 1910 California Street, Eureka, CA 95501-2870 | 2008-09-30 |
| Find all providers in EUREKA | ||||
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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.