KELLY PHILLIPS (NPI# 1700403524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700403524 |
| Entity Type | Individual |
| Full Name | KELLY PHILLIPS |
| Practice Address |
4650 Fruitvale Rd Newcastle CA 95658-9240 |
| Practice Telephone | 5304880713 |
| Mailing Telephone | 5304880713 |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2020-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Z3756 | CA | Other Service Providers |
| N | 1744G0900X |
Specialist Specialization: Graphics Designer |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305678 | Kelly Phillips | Occupational Therapist | 6447 Springfield Blvd, Oakland Gardens, NY 11364-2337 | 2020-08-05 |
| 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 |
| 1922586999 | Kelly Marie Phillips | Counselor | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-08-01 |
| Street Address |
4650 FRUITVALE RD |
| City | NEWCASTLE |
| State | CA |
| Zip Code | 95658-9240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972003770 | Morgan Elizabeth Dickerson | Social Worker | 9241 Old State Hwy #1170, Newcastle, CA 95658 | 2018-02-19 |
| 1851418495 | Placer County Mental Health Secret Ravine | Community/Behavioral Health | 645 Kentucky Greens Wy, Newcastle, CA 95658 | 2007-03-26 |
| 1063539609 | Sierra Vista - North | Community/Behavioral Health | 645 Kentucky Greens Way, Newcastle, CA 95658 | 2007-03-26 |
| 1770641920 | Duane Edward Gerking | Dentist | 671 Newcastle Rd, Suite 5, Newcastle, CA 95658 | 2006-12-04 |
| 1982752796 | Joseph B. Crabtree | Psychiatry & Neurology | 550 Main Street, Suite C, Newcastle, CA 95658 | 2007-01-08 |
| 1578645073 | Newcastle Physical Therapy, Inc. | Clinic/Center | 215 Taylor Road, Newcastle, CA 95658-0059 | 2006-10-20 |
| 1962631028 | Kim Ann Steffen | Homeopath | 10215 Indian Hill Rd, Newcastle, CA 95658-0260 | 2009-07-10 |
| 1972095081 | Nicole Meaglia | Speech-Language Pathologist | 3220 Granite Creek Pl, Newcastle, CA 95658-9307 | 2018-06-04 |
| 1205929270 | Tracy Marla Skolnick | Internal Medicine | 151 Rainbow Valley Ln, Newcastle, CA 95658-9421 | 2006-10-02 |
| 1962922880 | Kirsten Anne Teves | Behavior Technician | 10280 Hillview Rd, Newcastle, CA 95658-9503 | 2017-06-21 |
| Find all providers in zip 95658 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649521980 | Debra Nyland Jarvis | Specialist | 840 Lozanos Rd, Newcastle, CA 95658-9531 | 2012-09-26 |
| 1154635688 | Ann Elizabeth Schurman | Specialist | 12111 Se 71st St, Newcastle, WA 98056-1234 | 2010-07-26 |
| 1508989542 | Doreen Rose Ashbee | Specialist | 1911 Hidden Dr, Newcastle, CA 95658-9563 | 2007-04-06 |
| 1083674253 | Deann W Isackson | Specialist | 10907 Se 66th St, Newcastle, WA 98056-1008 | 2006-03-23 |
| 1730576497 | Linda Susan Bartels | Specialist | 7454 Newcastle Golf Club Rd, Physical Therapy Assistant, Newcastle, WA 98059 | 2015-04-21 |
| 1336439769 | Amber Olivia Hickman | Specialist | 6965 Coal Creek Pkwy Se, Newcastle, WA 98059-3136 | 2011-04-19 |
| 1104077270 | Chastity J Garcia | Specialist | 6965 Coal Creek Pkwy Se, Newcastle, WA 98059-3136 | 2008-10-07 |
| 1730339151 | Mona A. Stenson | Specialist | 104 Stampede St, Newcastle, WY 82701-3037 | 2008-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| 1053934646 | Latasha Marston | Specialist | 700 Haley Ln, Red Bluff, CA 96080-7604 | 2020-05-18 |
| 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.