CALLIE PHILLIPS (NPI# 1639682164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639682164 |
| Entity Type | Individual |
| Full Name | CALLIE PHILLIPS |
| Practice Address |
3441 Golden Gate Way Apt D Lafayette CA 94549-4533 |
| Practice Telephone | 9258761759 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 55351 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547326 | Callie Jo Phillips | Physician Assistant | 17805 N Us Highway 301, Citra, FL 32113-2459 | 2019-09-17 |
| Street Address |
3441 GOLDEN GATE WAY APT D |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-4533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1326669334 | Rachel Fulmer Trepagnier | Physician Assistant | 111 La Rue Vil, Lafayette, LA 70508-6829 | 2020-04-30 |
| 1093299661 | Jacqueline Grainger Davidson | Physician Assistant | 2540 Westward Dr, Lafayette, CO 80026-9176 | 2018-09-19 |
| 1003394891 | Stefanie Marie Hummel | Physician Assistant | 105 Patriot St Ste 101, Lafayette, LA 70508-6831 | 2018-08-02 |
| 1477067239 | Madison Elizabeth Amos | Physician Assistant | 1140 W South Boulder Rd Ste 202, Lafayette, CO 80026-8910 | 2017-11-30 |
| 1629591383 | Matthew Jacob Stephen | Physician Assistant | 12 Shreve Ln, Lafayette, CA 94549-4066 | 2017-07-24 |
| 1881114486 | Ani Akopyan | Physician Assistant | 3535 Brook St Apt 22, Lafayette, CA 94549-4336 | 2017-06-23 |
| 1851829360 | Daniel Manilla | Physician Assistant | 380 Empire Rd Ste 200, Lafayette, CO 80026-2677 | 2017-05-28 |
| 1962942839 | Marcus Ryan Davidson | Physician Assistant | 605 Silverstone Rd Ste 100, Lafayette, LA 70508 | 2017-02-27 |
| 1497203178 | Lauren Lilly | Physician Assistant | 1345 Unity Pl Ste 355, Lafayette, IN 47905-5761 | 2016-09-12 |
| Find all providers in LAFAYETTE | ||||
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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.