PHYLLIS D OGLETREE (NPI# 1467530253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467530253 |
| Entity Type | Individual |
| Full Name | PHYLLIS D OGLETREE |
| Credential | CRNP |
| Practice Address |
400 Veterans Drive Occupational Health Biloxi MS 39531 |
| Mailing Address |
1261 11th Way Pleasant Grove AL 35127-2303 |
| Practice Telephone | 2285235000 |
| Mailing Telephone | 2055155281 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-039167 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 VETERANS DRIVE OCCUPATIONAL HEALTH |
| City | BILOXI |
| State | MS |
| Zip Code | 39531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924728 | Thomas James Meece | Nurse Practitioner | 1025 Division St Ste C, Biloxi, MS 39530-2910 | 2019-04-04 |
| 1922579994 | Rachel Cathleen Deo Campo | Nurse Practitioner | 147 Reynoir St Ste 101, Biloxi, MS 39530-4119 | 2018-12-16 |
| 1669949350 | Kayla Anne Morano | Nurse Practitioner | 1720a Medical Park Dr Ste 340, Biloxi, MS 39532-2127 | 2018-10-31 |
| 1982180386 | Daniel Richard Damitio | Nurse Practitioner | 2781 C T Switzer Sr Dr Ste 400, Biloxi, MS 39531-4535 | 2018-07-18 |
| 1811486202 | Melissa Victoria Moore | Nurse Practitioner | 1025 Division St Ste B, Biloxi, MS 39530-2910 | 2018-05-02 |
| 1033574520 | Angela Yawn | Nurse Practitioner | 14213 Cook Rd Bldg A, Biloxi, MS 39532-9719 | 2015-12-28 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1629466131 | Mary Patricia Putnam | Nurse Practitioner | 2781 C T Switzer Drive, Suite 402, Biloxi, MS 39531-8001 | 2015-01-06 |
| 1225426927 | Kristina Dunn | Nurse Practitioner | 14209 Cook Rd, Suite 200, Memorial Physician Clinics -neuro and Spine, Biloxi, MS 35932 | 2015-01-03 |
| 1376965178 | Kristian Nicole Spear | Nurse Practitioner | 12507 Raintree Pl, Biloxi, MS 39532-8053 | 2014-01-13 |
| Find all providers in BILOXI | ||||
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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.