PHYLLIS THERESA ROSE (NPI# 1801324454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801324454 |
| Entity Type | Individual |
| Full Name | PHYLLIS THERESA ROSE |
| Credential | NA |
| Practice Address |
7406 Fullerton St Ste 200 Jacksonville FL 32256-3597 |
| Mailing Address |
18320 Ne 20th Ct North Miami Beach FL 33179-5010 |
| Practice Telephone | 9045380440 |
| Mailing Telephone | 3059790931 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HW806A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194373464 | Phyllis Rose | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-08-29 |
| Street Address |
7406 FULLERTON ST STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-3597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609309178 | Judith Maxy | Registered Nurse | 7406 Fullerton St Ste 200, Jacksonville, FL 32256-3597 | 2017-04-11 |
| 1376025510 | Melanie Martin | Nurse Practitioner | 7406 Fullerton St Ste 200, Jacksonville, FL 32256-3597 | 2018-09-04 |
| 1740799097 | Laura Denise Codrington | Nurse Practitioner | 7406 Fullerton St Ste 200, Jacksonville, FL 32256-3597 | 2017-09-28 |
| 1083142111 | Patricia Louise Smith | Registered Nurse | 7406 Fullerton St Ste 200, Jacksonville, FL 32256-3597 | 2017-06-02 |
| 1770011983 | Cheryl Wendy Howard | Registered Nurse | 7406 Fullerton St Ste 200, Jacksonville, FL 32256-3597 | 2017-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013647 | Tia Patterson | Nurse's Aide | 9415 Devonshire Blvd, Jacksonville, FL 32208-7002 | 2020-11-02 |
| 1205433943 | Shannon Ethridge | Nurse's Aide | 3006 Ribault Scenic Dr, Jacksonville, FL 32208-2477 | 2020-10-06 |
| 1497366488 | Christina L Roberts | Nurse's Aide | 6028 Chester Ave Ste 206d, Jacksonville, FL 32217-2285 | 2020-08-12 |
| 1174133052 | Taylor K Wallace | Nurse's Aide | 13525 Bartram Park Blvd Unit 1538, Jacksonville, FL 32258-5271 | 2020-08-05 |
| 1861001745 | Jessica Michelle Mccree Braddy | Nurse's Aide | 8942 8th Ave, Jacksonville, FL 32208-2142 | 2020-07-28 |
| 1124636154 | Tamra Coffee Mikell | Nurse's Aide | 2875 Tate Ct, Jacksonville, FL 32218-8873 | 2020-07-15 |
| 1063033793 | Toilicia Danielle Sylvia Walker | Nurse's Aide | 239 E 43rd St, Jacksonville, FL 32208-5306 | 2020-05-05 |
| 1396366753 | Angel Taylor | Nurse's Aide | 6316 Solandra Dr, Jacksonville, FL 32210-7208 | 2020-04-27 |
| 1124647672 | Lapatra Fisher | Nurse's Aide | 7452 John F Kennedy Dr W, Jacksonville, FL 32219-3516 | 2020-04-15 |
| 1013541531 | Monica Mccutchen | Nurse's Aide | 5556 Ashleigh Park Dr, Jacksonville, FL 32244-7832 | 2020-02-24 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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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.