BRANDON MICHAEL PHILLIPS (NPI# 1790913101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790913101 |
| Entity Type | Individual |
| Full Name | BRANDON MICHAEL PHILLIPS |
| Practice Address |
3711 N Roan St Apt B14 Johnson City TN 37601-1258 |
| Mailing Address |
3711 N Roan St Apt B14 Johnson City TN 37601 |
| Practice Telephone | 4232137099 |
| Mailing Telephone | 4232137099 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356754956 | Brandon Phillips | Radiology | 619 19th St S Dept Of, Birmingham, AL 35233-1900 | 2014-06-11 |
| 1629387279 | Brandon Phillips | Psychologist | 90 Whitewood Rd Ste 4, Charlottesville, VA 22901-1668 | 2010-09-30 |
| 1790386142 | Brandon Phillips | Counselor | 2428 W Reynolds Ave, Centalia, WA 98531-4554 | 2020-11-03 |
| 1295341840 | Brandon Phillips | Physical Therapist | 1640 Springdale Dr Unit 10, Camden, SC 29020-5002 | 2020-09-18 |
| 1386131571 | Brandon Phillips | Behavior Technician | 4008 N Rosewood Ave, Muncie, IN 47304-1775 | 2018-04-13 |
| 1619473923 | Brandon Phillips | Pharmacist | 2421 Powell Ave, Nashville, TN 37204-4653 | 2018-04-04 |
| 1093238404 | Brandon Phillips | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2017-07-18 |
| 1679973382 | Brandon Phillips | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2014-08-29 |
| 1508295072 | Brandon Phillips | Pharmacist | 601 Spartanburg Hwy, Hendersonville, NC 28792-5762 | 2013-11-05 |
| 1467715581 | Brandon Lee Phillips | Dentist | 1150 Health Sciences Center, Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9100 | 2012-06-22 |
| Street Address |
3711 N ROAN ST APT B14 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130696 | Krista Swanson | Speech-Language Pathologist | 204 E Mountain View Rd Apt 25, Johnson City, TN 37601-1264 | 2020-06-30 |
| 1164062659 | Medical Education Assistance Corporation | Speech-Language Pathologist | 2423 Susannah St, Johnson City, TN 37601-1749 | 2020-01-13 |
| 1093279218 | Elaine Coleman Murray | Speech-Language Pathologist | 5 Bingham Ct, Johnson City, TN 37604-7120 | 2019-01-23 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1073010716 | Jerrica Smith | Speech-Language Pathologist | 271 Rockingham Meadows Dr, Johnson City, TN 37615-6709 | 2018-04-10 |
| 1427560754 | Annika Zickovich | Speech-Language Pathologist | 2340 Knob Creek Rd Ste 704, Johnson City, TN 37604-2977 | 2017-10-26 |
| 1558811885 | Bowling Green Therapy Services | Speech-Language Pathologist | 123 Quail Run, Johnson City, TN 37601-5366 | 2016-10-11 |
| 1427439579 | Erin Marie Galusha | Speech-Language Pathologist | 581 Overbrook Rd, Johnson City, NY 13790-1306 | 2015-06-15 |
| 1568851046 | Jessica Billings | Speech-Language Pathologist | 525 W Oakland Ave Ste 205, Johnson City, TN 37604-1673 | 2015-01-21 |
| 1962891093 | Rhonda Jean Bolton | Speech-Language Pathologist | 9 Madison Ct, Johnson City, TN 37601-9233 | 2015-01-13 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.