DR. JESSAMYN C PHILLIPS (NPI# 1386277861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386277861 |
| Entity Type | Individual |
| Full Name | DR. JESSAMYN C PHILLIPS |
| Credential | NP |
| Practice Address |
1500 21st St Sacramento CA 95811-5216 |
| Practice Telephone | 9164433299 |
| Mailing Telephone | 9164433299 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95013355 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4610 X St, Sacramento, CA 958172200 | 9167342145 |
| Street Address |
1500 21ST ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95811-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774737 | Natalie Rose Daylami | Social Worker | 1500 21st St, Sacramento, CA 95811-5216 | 2005-07-20 |
| 1811506041 | Kathy T Ton | Pharmacist | 1500 21st St, Sacramento, CA 95811-5216 | 2020-07-23 |
| 1295368843 | Martha Lucia Marin-cun | Social Worker | 1500 21st St, Sacramento, CA 95811-5216 | 2020-02-21 |
| 1316598477 | Irene Josefina Ventura Curiel | Dietitian, Registered | 1500 21st St, Sacramento, CA 95811-5216 | 2019-09-20 |
| 1891340360 | Crystal S Deng | Nurse Practitioner | 1500 21st St, Sacramento, CA 95811-5216 | 2019-08-01 |
| 1295393973 | Jolie Pate-terry | Social Worker | 1500 21st St, Sacramento, CA 95811-5216 | 2019-05-29 |
| 1508336983 | Samantha Han | Nurse Practitioner | 1500 21st St, Sacramento, CA 95811-5216 | 2018-11-28 |
| 1528540911 | Lindsey N Zamarripa | Nurse Practitioner | 1500 21st St, Sacramento, CA 95811-5216 | 2018-08-31 |
| 1972080877 | Suzanna Naramore | Nurse Practitioner | 1500 21st St, Sacramento, CA 95811-5216 | 2018-07-24 |
| 1417433319 | Beatriz Socorro Salgado | Social Worker | 1500 21st St, Sacramento, CA 95811-5216 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891190 | Teresa Sy | Behavior Technician | 610 Bercut Dr. Suite B, Sacramento, CA 95811 | 2018-12-03 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| 1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
| 1174000855 | Clinicians Connect Care Home Health & Hospice Services | Home Health | 716 19th Street, Suite 200, Sacramento, CA 95811 | 2018-07-25 |
| 1992202345 | Benjamin James Leibold | Behavior Technician | 610 Bercut Drive, Suite B, Sacramento, CA 95811 | 2018-04-11 |
| 1669979233 | Aja Jones | Counselor | 401 S Street, Sacramento, CA 95811 | 2018-04-10 |
| 1821511916 | Lucas John Monaco | Counselor | 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 | 2017-07-20 |
| 1275089963 | Sergio Vicuna, D.d.s., Inc | Dentist | 1804 19th St, Suite 100, Sacramento, CA 95811 | 2016-09-01 |
| 1386057495 | Chelsea Turner | Counselor | 600 Bercut Drive, Sacramento, CA 95811 | 2014-06-05 |
| 1427473636 | Sidney Caldwell | Counselor | 401 S Street Sacramento, Sacramento, CA 95811 | 2014-02-25 |
| Find all providers in zip 95811 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633500 | Mary Cobleigh Banfield | Nurse Practitioner | 1009 1/2 T St, Sacramento, CA 95811-6560 | 2020-06-10 |
| 1952926438 | Perla Zuliana Aguayo Vazquez | Nurse Practitioner | 3520 El Ricon Way, Sacramento, CA 95864-2915 | 2020-06-10 |
| 1043834302 | Lacey Elizabeth Watson | Nurse Practitioner | 3710 J St Ste 201, Sacramento, CA 95816-5519 | 2020-06-02 |
| 1467081513 | Meeri Kim | Nurse Practitioner | 2425 Alhambra Blvd Ste 250, Sacramento, CA 95817-1110 | 2020-04-01 |
| 1134763238 | Mary Dicou | Nurse Practitioner | 1747 N Market Blvd, Sacramento, CA 95834-2978 | 2019-10-31 |
| 1265099030 | Christopher Adam Phillips | Nurse Practitioner | 2801 Unity Pointe Ave, Sacramento, CA 95833-3772 | 2019-05-28 |
| 1669942538 | Inna Dariychuk | Nurse Practitioner | 500 Howe Avenue, Suite 100, Sacramento, CA 95825 | 2018-12-04 |
| 1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
| 1770091621 | Rane Nathan Beal | Nurse Practitioner | 209 29th St Ste B, Sacramento, CA 95816-3271 | 2018-01-12 |
| 1730698846 | Olivia Rapozo | Nurse Practitioner | 4860 Y St # 3400, Sacramento, CA 95817-2307 | 2017-09-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95811 |
Please comment or provide details below to improve the information on DR. JESSAMYN C 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.