KELLY SUSAN PHILLIPS (NPI# 1669572848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669572848 |
| Entity Type | Individual |
| Full Name | KELLY SUSAN PHILLIPS |
| Credential | CPNP |
| Practice Address |
424 Mulberry St Suite 1 Milton DE 19968-1628 |
| Mailing Address |
113 Brighton Rd Rehoboth Beach DE 19971-3526 |
| Practice Telephone | 3026840561 |
| Practice Fax Number | 3026843563 |
| Mailing Telephone | 3022262877 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
MP14450167 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305678 | Kelly Phillips | Occupational Therapist | 6447 Springfield Blvd, Oakland Gardens, NY 11364-2337 | 2020-08-05 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1104118355 | Kelly M Phillips | Veterinarian | 1808 S Randall Rd, Algonquin, IL 60102-5925 | 2011-05-06 |
| 1083857064 | Kelly Phillips | Registered Nurse | 10 Upland Rd, Belmont, MA 02478-2302 | 2009-04-07 |
| 1467662106 | Kelly G Phillips | Marriage & Family Therapist | 1035a Director Ct, Greenville, NC 27858-5996 | 2007-05-23 |
| 1073593349 | Kelly Phillips | Family Medicine | 821 N. Coleman St., 100, Prosper, TX 75078 | 2006-01-20 |
| 1871192906 | Kelly Phillips | Social Worker | 203 East St, Easthampton, MA 01027-1234 | 2020-10-20 |
| 1407453178 | Kelly R. Phillips | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-06 |
| 1518595859 | Kelly Phillips | Student in an Organized Health Care Education/Training Program | 5800 Hannum Ave Ste 105, Culver City, CA 90230-6553 | 2020-03-31 |
| 1619536513 | Kelly M Phillips | Speech-Language Pathologist | 889 N Aurora Rd, Aurora, OH 44202-9537 | 2019-06-13 |
| Street Address |
424 MULBERRY ST SUITE 1 |
| City | MILTON |
| State | DE |
| Zip Code | 19968-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184938 | John J Ludwicki | Pediatrics | 424 Mulberry St, Milton, DE 19968-1628 | 2005-06-15 |
| 1962951202 | Sandryn Marie Taylor- Wysiekierski | Nurse Practitioner | 424 Mulberry St, Milton, DE 19968-1628 | 2016-09-28 |
| 1881957728 | Lauren E Griffin-walls | Nurse Practitioner | 424 Mulberry St, Milton, DE 19968-1628 | 2012-06-15 |
| 1639452121 | Nancy Marie Smith | Nurse Practitioner | 424 Mulberry St, Milton, DE 19968-1628 | 2011-09-21 |
| 1285702613 | Corder C Campbell | Pediatrics | 424 Mulberry St, Milton, DE 19968-1628 | 2006-12-02 |
| 1598857799 | Maria Childers | Pediatrics | 424 Mulberry St, Milton, DE 19968-1628 | 2006-09-28 |
| 1326022419 | Jenna Seiff | Pediatrics | 424 Mulberry St, Milton, DE 19968-1628 | 2005-12-01 |
| 1992792717 | Charles G. Wagner | Family Medicine | 424 Mulberry St, Milton, DE 19968-1628 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700337144 | Andreal Beckett | Registered Nurse | 421 S Spinnaker Lane, Milton, DE 19968 | 2016-10-20 |
| 1679648455 | Patricia Hannon | Physician Assistant | 28312 Lewes Georgetown Highway, Cool Spring Office Park, Milton, DE 19968 | 2006-11-21 |
| 1184737751 | Shoreview Medical, Pa | Family Medicine | 28312 Lewes-georgetown Highway, Cool Spring Office Park, Milton, DE 19968 | 2006-08-16 |
| 1376536623 | Elisa M. Montross-lopez | Family Medicine | 630 Mulberry Street, Milton, DE 19968 | 2005-08-23 |
| 1033250493 | Milton Fire Department Inc | Ambulance | 116 Front St, Milton, DE 19968-0000 | 2007-02-09 |
| 1629492376 | William Kobza | Technician/Technologist | 104 Broadkill Rd, Milton, DE 19968-1008 | 2014-02-14 |
| 1720009053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 120 Broadkill Rd, Milton, DE 19968-1008 | 2006-07-22 |
| 1285689786 | Maria V. Haldar | Internal Medicine | 124 Broadkill Rd, Milton, DE 19968-1008 | 2006-05-23 |
| 1588171193 | Ann Lee | Pharmacist | 120 Broadkill Rd, Milton, DE 19968-1008 | 2018-01-04 |
| 1265717086 | Timothy Dillon | Pharmacist | 120 Broadkill Rd, Milton, DE 19968-1008 | 2011-10-12 |
| Find all providers in zip 19968 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
| 1962951202 | Sandryn Marie Taylor- Wysiekierski | Nurse Practitioner | 424 Mulberry St, Milton, DE 19968-1628 | 2016-09-28 |
| 1225477615 | Kari Joan Mckinley | Nurse Practitioner | 11 Haydenberry Dr Ste 41, Milton, VT 05468-3848 | 2013-06-18 |
| 1194058826 | April Belle Archer | Nurse Practitioner | 5520 Stewart St, Milton, FL 32570-4304 | 2009-09-14 |
| 1164633087 | Carri L Phillips | Nurse Practitioner | 5834 Berryhill Rd, Milton, FL 32570-8275 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432739 | Jessica Lynn Pajak | Nurse Practitioner | 875 Aaa Blvd Ste C, Newark, DE 19713-3624 | 2019-08-15 |
| 1891234563 | Christina Marie Fischer | Nurse Practitioner | 3521 Silverside Rd Ste 1b, Wilmington, DE 19810-4900 | 2017-02-14 |
| 1366850547 | Amber Lewis | Nurse Practitioner | 4735 Ogletown-stanton Rd Map 2 Suite 1116, Newark, DE 19713 | 2014-07-31 |
| 1194140400 | Lorna A Divino | Nurse Practitioner | 200 Cleaver Farms Rd Ste 201, Middletown, DE 19709 | 2014-02-24 |
| 1821345018 | Winifred S. O. Mellinger | Nurse Practitioner | 122 Silver Lake Road, Middletown School Based Health Center, Middletown, DE 19709 | 2012-08-07 |
| 1831371871 | Dana L Silverman | Nurse Practitioner | 45 Stonewold Way, Greenville, DE 19807-2566 | 2007-12-01 |
| 1942413448 | Diane Jeane Disabatino | Nurse Practitioner | 963 Centre Rd, New Castle County Detention Medical, Wilmington, DE 19805-1268 | 2007-05-08 |
| 1497877260 | Elizabeth O'rourke Sweet | Nurse Practitioner | 501 Ogletown Rd, Hudson State Service Center, Child Health Clinic, Newark, DE 19711-5403 | 2007-04-04 |
| 1164569588 | Martha Coppage-lawrence | Nurse Practitioner | 2575 Glasgow Ave, Newark, DE 19702-4747 | 2007-02-01 |
| 1588728232 | Glenda K Mclean | Nurse Practitioner | 2501 Ebright Rd, Wilmington, DE 19810-1125 | 2006-12-20 |
| 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.