KENNETH DALE PHILLIPS (NPI# 1467739037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467739037 |
| Entity Type | Individual |
| Full Name | KENNETH DALE PHILLIPS |
| Credential | RN |
| Practice Address |
12033 Agency Rd Parker AZ 85344-7718 |
| Practice Telephone | 9286692137 |
| Practice Fax Number | 9286693131 |
| Mailing Telephone | 9286692137 |
| Mailing Fax Number | 9286693131 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN9242156 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376801555 | Kenneth Gale Phillips | Preventive Medicine | 3415 Bridgefield Dr, Lakeland, FL 33803-5914 | 2012-04-25 |
| 1285709626 | Kenneth A Phillips | Optometrist | 314 Honesdale Road, Waymart, PA 18472-0310 | 2006-11-21 |
| 1629159017 | Kenneth Phillips | Emergency Medicine | 931 Nokomis Cir, Lancaster, TX 75146-5137 | 2006-10-18 |
| 1205932407 | Kenneth K Phillips Jr. | Podiatrist | 74090 El Paso, Suite 100, Palm Desert, CA 92260 | 2006-09-15 |
| 1144324575 | Kenneth Roswell Phillips | Internal Medicine | 16 Paul Ave, Warwick, RI 02886-7317 | 2006-09-07 |
| 1366452401 | Kenneth L Phillips Jr. | Physician Assistant | 15026 La Jolla Pl, Colorado Springs, CO 80921-2564 | 2006-08-09 |
| 1306852868 | Kenneth R Phillips | Dentist | 3165 Maplewood Ave, Winston Salem, NC 27103-3919 | 2006-08-01 |
| 1194221408 | Kenneth L Phillips | Counselor | 1058 S Governors Ave Ste 102, Dover, DE 19904-6920 | 2018-04-04 |
| 1871867119 | Kenneth David Phillips | Counselor | 8901 New Hampshire Ave, Silver Spring, MD 20903-3611 | 2012-03-05 |
| 1821368366 | Kenneth Phillips Sr. | Counselor | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2011-12-30 |
| Street Address |
12033 AGENCY RD |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376510495 | Alice D. Calhoun | Pediatrics | 12033 Agency Rd, Parker, AZ 85344-7718 | 2006-03-07 |
| 1255941787 | Kimberly Christine Chavez | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-08-10 |
| 1518575539 | Heidi Anne Eikom | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-07-15 |
| 1093363020 | Folaremi Adeyemo | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-09-03 |
| 1265087837 | Lisa Tung | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-09 |
| 1588219323 | Donna Triplett | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-08 |
| 1992365621 | Nichole L Hord | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-14 |
| 1942868187 | Lisa Michelle Croley | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-03 |
| 1942764253 | Astrid Peck | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-31 |
| 1811451198 | Veo Prakai Daly | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854169 | Precious Onukwuli | Registered Nurse | 7001 Stony Oak Ct, Parker, TX 75002-6924 | 2019-10-31 |
| 1588157671 | Breeana Glasgow | Registered Nurse | 5455 Ben Park Cir, Parker, CO 80134-5207 | 2018-06-13 |
| 1811498140 | Shelly R Hambek | Registered Nurse | 11483 Hot Springs Dr, Parker, CO 80138-8029 | 2018-02-22 |
| 1790293017 | Lindsay J Reilly | Registered Nurse | 17311 Lindon Dr, Parker, CO 80134-7537 | 2018-01-22 |
| 1912425133 | Jennifer Camp | Registered Nurse | 2500 South Parker Road, Parker, CO 80017 | 2017-09-08 |
| 1811436868 | Catherine Harris | Registered Nurse | 11564 Terrawood Ln, Parker, CO 80134-3026 | 2017-02-22 |
| 1427596048 | Kristin Smith | Registered Nurse | 6917 Hillpoint Pl, Parker, CO 80134-6315 | 2017-02-02 |
| 1013467752 | May-lee Nicole Cho | Registered Nurse | 11139 Bayne Way, Parker, CO 80134-3072 | 2016-10-05 |
| 1245784479 | Ellie Peterson | Registered Nurse | 23192 Song Bird Hills Way, Parker, CO 80138-8686 | 2016-08-04 |
| 1598129421 | Marian Balke | Registered Nurse | 19170 E Hickock Dr, Parker, CO 80134-7489 | 2016-04-06 |
| Find all providers in PARKER | ||||
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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.