PHYLLIS M WELLS (NPI# 1699776831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699776831 |
| Entity Type | Individual |
| Full Name | PHYLLIS M WELLS |
| Credential | CRNP |
| Practice Address |
11085 Little Patuxent Pkwy Ste 103 Columbia MD 21044-2983 |
| Practice Telephone | 4109970580 |
| Practice Fax Number | 4107408587 |
| Mailing Telephone | 4109970580 |
| Mailing Fax Number | 4107408587 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Q29866 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1497313605 | Phyllis W Wells | Counselor | 16607 Blanco Rd Ste 1404, San Antonio, TX 78232-1945 | 2019-06-03 |
| 1689945685 | Phyllis J Wells | Counselor | Rr 1 Box 277, Lawrenceville, IL 62439-9784 | 2012-01-23 |
| 1265747299 | Phyllis Westervelt Wells | Pharmacist | 500 S 99th Ave, Tolleson, AZ 85353-9700 | 2010-08-13 |
| 1093931099 | Phyllis E Wells | Marriage & Family Therapist | 635 E Cottonwood Ln, Casa Grande, AZ 85222-2023 | 2007-04-18 |
| Street Address |
11085 LITTLE PATUXENT PKWY STE 103 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750541 | Francis Chuidian | Internal Medicine | 11085 Little Patuxent Pkwy, Suite 202, Columbia, MD 21044-2983 | 2005-06-16 |
| 1851708150 | Jodi Yatto | Speech-Language Pathologist | 11085 Little Patuxent Pkwy, Suite 101, Columbia, MD 21044-2983 | 2014-07-18 |
| 1568730414 | Columbia Patient Care Associates, LLC | Internal Medicine | 11085 Little Patuxent Pkwy, Medical Arts Bldg - Ste L001, Columbia, MD 21044-2983 | 2011-12-07 |
| 1730405283 | Jessica Ann Cronin | Anesthesiology | 11085 Little Patuxent Pkwy, Medical Arts Bldg, 004, Columbia, MD 21044-2983 | 2010-04-08 |
| 1457516940 | Physical Therapy Partners, Incorporated | Clinic/Center | 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044-2983 | 2008-07-23 |
| 1407034390 | Wendy M. Jackson | Pharmacist | 11085 Little Patuxent Pkwy, Columbia, MD 21044-2983 | 2008-02-04 |
| 1235317249 | Alan Goldstein | Pharmacist | 11085 Little Patuxent Pkwy, Columbia, MD 21044-2983 | 2008-02-01 |
| 1053508598 | Sheetal Patel | Physical Therapist | 11085 Little Patuxent Pkwy, Physical Therapy Partners, Suite 207, Columbia, MD 21044-2983 | 2007-09-28 |
| 1154512549 | Zeenat Nadeem Hashmi | Family Medicine | 11085 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2983 | 2007-08-09 |
| 1578771606 | Jo-hsin Chen | Psychiatry & Neurology | 11085 Little Patuxent Pkwy, Suite 212, Columbia, MD 21044-2983 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092175 | Ashley Dozier | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-08-01 |
| 1598114977 | Columbia Women's Clinic, LLC | Nurse Practitioner | 820 Hatcher Ln, Columbia, TN 38401-3528 | 2016-06-07 |
| 1841411345 | Alyssa K. Larimore | Nurse Practitioner | 8900 Columbia 100 Pkwy, Suite E, Columbia, MD 21045-2336 | 2007-05-01 |
| 1972640878 | Temitayo Omoteleola Soyoye | Nurse Practitioner | 8945 Guilford Rd, Suite 100, Columbia, MD 21046-2659 | 2007-01-31 |
| 1124029285 | Laura M Lynch | Nurse Practitioner | 11085 Little Patuxent Pkwy, Ste 103, Columbia, MD 21044-2983 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869690 | Angela Charolett Price | Nurse Practitioner | 2000 Medical Pkwy Ste 306, Annapolis, MD 21401-3745 | 2020-04-15 |
| 1215426010 | Kimberly Ann Davis | Nurse Practitioner | 4470 Regency Pl Ste 106, White Plains, MD 20695-3085 | 2018-05-07 |
| 1134666266 | Ursula Rocha | Nurse Practitioner | 858 Clamshell Ct, Edgewater, MD 21037-3505 | 2017-01-26 |
| 1548421357 | Middletown Valley Women's Health, LLC | Nurse Practitioner | 4253 Old National Pike, Suite 2, Middletown, MD 21769-7702 | 2008-06-24 |
| 1104011881 | Nancy Ann Long | Nurse Practitioner | 132 Holiday Court, Suite 210, Annapolis, MD 21401 | 2007-09-06 |
| 1093925695 | Stephanie Forte Deese | Nurse Practitioner | 900 Caton Ave # 081, Baltimore, MD 21229-5201 | 2007-05-23 |
| 1609931849 | Pregnancy Aid Centers, Inc. | Nurse Practitioner | 4809 Greenbelt Rd, College Park, MD 20740-2001 | 2006-12-27 |
| 1518057371 | Jean Staples | Nurse Practitioner | 119 S Hays St, Bel Air, MD 21014-3644 | 2006-10-13 |
| 1669441093 | Annette Marie Naru | Nurse Practitioner | 41680 Miss Bessie Drive, Suite 102, Leonardtown, MD 20650 | 2006-03-17 |
| 1932101862 | Mary Rachel Elliott | Nurse Practitioner | 503 Muir St, Cambridge, MD 21613-1848 | 2005-08-11 |
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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.