MRS. JENNIFER PHILLIPS (NPI# 1417174632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417174632 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER PHILLIPS |
| Credential | R.N. |
| Practice Address |
802 Kaufman Ave Tahlequah OK 74464-5145 |
| Practice Telephone | 9184569524 |
| Mailing Telephone | 9184569524 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
R0028259 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887074 | Jennifer Russell Phillips | Music Therapist | 50 N Plymouth Ave, Rochester, NY 14614-1221 | 2020-10-09 |
| 1043834195 | Jennifer Phillips | Occupational Therapist | 1 Keefe Ave, Newton, MA 02464-1316 | 2020-06-04 |
| 1508328998 | Jennifer Alison Phillips | Nurse Practitioner | 6101 Ne 107th St, Oklahoma City, OK 73151-9560 | 2019-04-03 |
| 1366911794 | Jennifer Patricia Phillips | Occupational Therapist | 2558 Wilson Ave, Bronx, NY 10469-5609 | 2018-11-14 |
| 1144724501 | Jennifer Marie Phillips | Nurse Practitioner | 715 Rainbow Forest Dr, Lynchburg, VA 24502-3035 | 2018-03-21 |
| 1063895795 | Jennifer Phillips | Speech-Language Pathologist | 7017 Citrus Point Ct, Winter Park, FL 32792-7500 | 2015-06-30 |
| 1316344757 | Jennifer Phillips | Social Worker | 1085 Poplar Ave, Memphis, TN 38105-4724 | 2014-12-01 |
| 1053740944 | Jennifer Phillips | Marriage & Family Therapist | 812 Gradyhill Pl, Midlothian, VA 23114-3362 | 2013-11-01 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1568808939 | Jennifer Ruth Phillips | Social Worker | Department of Veteran Affairs Southern Az Va, 3601 South 6th Avenue, Tucson, AZ 85723-0001 | 2013-05-13 |
| Street Address |
802 KAUFMAN AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1073018487 | Angela Christine Mccoy | Registered Nurse | 2321 Fruitful Dr, Midwest City, OK 73130-1014 | 2018-03-27 |
| 1134629405 | Jacob Jackson | Registered Nurse | 1800 W 1st St Ste 105b, Elk City, OK 73644-3133 | 2018-02-13 |
| 1417483439 | Lori Wheeler | Registered Nurse | 625 Redstone Ave, Edmond, OK 73013-5915 | 2017-05-11 |
| 1023567989 | Michael Zinn | Registered Nurse | 1631 Oakwood Dr, Norman, OK 73069-4448 | 2016-10-03 |
| 1700800869 | Theresa Anne Flowerette | Registered Nurse | 1230 W Main St Ste B, Pawhuska, OK 74056-5911 | 2006-07-26 |
| 1013542406 | Jorge Cardenas | Registered Nurse | 205 S Park Ln, Altus, OK 73521-5755 | 2020-03-06 |
| 1700437449 | Micah Taylor | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-24 |
| 1699325035 | Dixie Marie Christie | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-18 |
| 1679122055 | Edwina Rae Berryhill | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-09 |
| 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.