PHYLLIS MCLEMORE (NPI# 1790940633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790940633 |
| Entity Type | Individual |
| Full Name | PHYLLIS MCLEMORE |
| Credential | NP |
| Practice Address |
1901 Medi Park Ste 2051 Amarillo TX 79106-2169 |
| Mailing Address |
1400 Wallace Blvd Attn: Credentialing Dept Amarillo TX 79106-1708 |
| Practice Telephone | 8064684600 |
| Practice Fax Number | 8064684398 |
| Mailing Telephone | 8063545585 |
| Mailing Fax Number | 8063564673 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2012-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 517550 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
517550 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 05572568 | 05 | |
| TX | 042483006 | 05 | |
| TX | 042483005 | 05 | |
| OK | 200322680 A | 05 |
| Street Address |
1901 MEDI PARK STE 2051 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548257900 | Pedro R Hernandez | Internal Medicine | 1901 Medi Park, Suite 138, Amarillo, TX 79106-2110 | 2005-09-30 |
| 1417179912 | Randi Ferris | Speech-Language Pathologist | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-03 |
| 1518179738 | Brenda Stamps | Physical Therapist | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-03 |
| 1497977391 | Tiffany Blount | Occupational Therapy Assistant | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-02 |
| 1972725711 | Amber Hill | Speech-Language Pathologist | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-02 |
| 1871628032 | Larry Gene Schulz | Dentist | 1901 Medi Park, Ste 219, Amarillo, TX 79106 | 2007-02-21 |
| 1497844112 | Sivaram Sudhakar | Psychiatry & Neurology | 1901 Medi Park, Suite # 1062, Amarillo, TX 79106 | 2006-10-12 |
| 1356359186 | Melburn Kenton Huebner | Orthopaedic Surgery | 1901 Medi Park, Ste 10, Amarillo, TX 79016-2105 | 2006-08-04 |
| 1629096086 | Douglass Y Hyde | Orthopaedic Surgery | 1901 Medi Park, Suite 10, Amarillo, TX 79106-2105 | 2006-07-17 |
| 1083641690 | Vinodkumar Somabhai Patel | Internal Medicine | 1901 Medi Park, Suite # 2049, Amarillo, TX 79106-2110 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830211 | Katherine Ann Kunkle | Clinical Nurse Specialist | 200 West Ave, Pasadena, TX 77502-3630 | 2020-01-24 |
| 1790254241 | Daaiyah Ward | Clinical Nurse Specialist | 1810 16th St, Hempstead, TX 77445-5852 | 2018-11-14 |
| 1285134940 | Frankie Lynn Brown | Clinical Nurse Specialist | 209 Rodney St, Hawkins, TX 75765-2769 | 2018-02-19 |
| 1295123818 | Jessica Denise De Lara | Clinical Nurse Specialist | 1390 George Dieter Dr Ste 100, Suite C, El Paso, TX 79936-7423 | 2015-01-05 |
| 1316344385 | Jessica Dominguez | Clinical Nurse Specialist | 4321 N Mesa St Ste B, El Paso, TX 79902-1105 | 2014-11-19 |
| 1609104066 | Mary Olivia De Leon | Clinical Nurse Specialist | 4920 N. Expressway, Alton Gloor Plaza#101, Brownsville, TX 78526 | 2009-11-24 |
| 1245471010 | Celeste Maria Boyd | Clinical Nurse Specialist | 7602 Lonecrest Ln, Converse, TX 78109-3245 | 2009-03-09 |
| 1881834539 | Iris Well Child Physicals | Clinical Nurse Specialist | 200 W. Edinburg Hwy 107, Suite B, Elsa, TX 78543-1274 | 2009-02-20 |
| 1609892041 | Melissa E Fondren | Clinical Nurse Specialist | 710 Bedell, Del Rio, TX 78840-6072 | 2006-07-15 |
| 1831735091 | Diana Lynn Cardwell | Clinical Nurse Specialist | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-11-22 |
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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.