JESSICA LANE PHILLIPS (NPI# 1932629847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932629847 |
Entity Type | Individual |
Full Name | JESSICA LANE PHILLIPS |
Credential | ATC |
Practice Address |
17 Cypress Creek Farm Rd Sanford NC 27332 |
Mailing Address |
17 Cypress Creek Farm Rd Sanford NC 27332-2186 |
Practice Telephone | 9193534580 |
Enumeration Date | 2017-06-21 |
Last Update Date | 2017-06-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598127144 | Jessica Lynn Hadwin Phillips | Student in an Organized Health Care Education/Training Program | 1025 Walnut St Rm 516, Philadelphia, PA 19107-5001 | 2016-03-23 |
1881912376 | Jessica Megan Phillips | Dentist | 1103 Callahan Dr, Knoxville, TN 37912-1310 | 2010-05-10 |
1578739694 | Jessica Michelle Phillips | Occupational Therapist | 1410 W. Daisy Bates, Little Rock, AR 72202-5434 | 2008-05-08 |
1174130462 | Jessica Lemoine Phillips | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-30 |
1457963878 | Jessica Lynn Phillips | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-18 |
1699303222 | Jessica Leigh Phillips | Nurse Practitioner | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2020-03-30 |
1811527773 | Jessica Phillips | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-01-20 |
1215575477 | Jessica Phillips | Behavior Technician | 2770 Carpenter Rd, Ann Arbor, MI 48108-4104 | 2019-12-18 |
1033755111 | Jessica Phillips | Registered Nurse | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2019-11-22 |
1699231746 | Jessica N Phillips | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2019-02-13 |
Street Address |
17 CYPRESS CREEK FARM RD |
City | SANFORD |
State | NC |
Zip Code | 27332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
1104817790 | Francesco Robert Olivito | Family Medicine | 4546 Nc Highway 87 South, Sanford, NC 27332 | 2005-11-02 |
Find all providers in zip 27332 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174121701 | Samantha Hamilton | Specialist/Technologist | 183 Summer Creek Ln, Sanford, NC 27332-6285 | 2020-10-15 |
1245864602 | Hannah Michelle Lee | Specialist/Technologist | 2321 Cool Springs Rd, Sanford, NC 27330-9454 | 2020-02-25 |
1144791005 | Jimmy Betts | Specialist/Technologist | 118 Grovewood Ave, Sanford, FL 32773-5951 | 2018-12-17 |
1619488301 | Justin P Cobb | Specialist/Technologist | 2301 Tramway Rd, Sanford, NC 27332-9173 | 2017-10-20 |
1164960829 | Ashley Nicole Garner | Specialist/Technologist | 208 Acorn Dr, Sanford, NC 27330-9253 | 2017-02-02 |
1023434594 | Henry Womack | Specialist/Technologist | 1708 Nash St, Sanford, NC 27330-5843 | 2014-03-08 |
1659549061 | Constantine Demetriadis | Specialist/Technologist | 845 Lake Markham Rd, Sanford, FL 32771 | 2008-02-19 |
1487784062 | Orlin R Watson | Specialist/Technologist | 52 Sanford High Blvd, Sanford, ME 04073-3427 | 2007-03-06 |
1295755452 | Larry Bernard Bell | Specialist/Technologist | 2701 Ridgewood Ave, Sanford, FL 32773-4916 | 2006-07-20 |
1932155199 | Craig A Critchfield | Specialist/Technologist | 100 Weldon Blvd, Athletic Department 56, Sanford, FL 32773-6132 | 2006-05-26 |
Find all providers in SANFORD |
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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.