PHYLLIS ANDERSON (NPI# 1972920437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972920437 |
| Entity Type | Individual |
| Full Name | PHYLLIS ANDERSON |
| Other Name | PHYLLIS O'CONNELL |
| Credential | RN |
| Practice Address |
12124 High Tech Ave Suite 300 Orlando FL 32817-8373 |
| Mailing Address |
3550 Goodwyn Rd Powhatan VA 23139-5810 |
| Practice Telephone | 8003005132 |
| Mailing Telephone | 8045983916 |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2014-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
0001104850 | VA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154643500 | Phyllis Glenn Anderson | Nurse Practitioner | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2010-02-25 |
| 1548317712 | Phyllis Margo Anderson | Psychologist | 5675 Stone Rd, Suite 320, Centreville, VA 20120-1667 | 2007-01-03 |
| Street Address |
12124 HIGH TECH AVE SUITE 300 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32817-8373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083752836 | Jennifer Angela Eagles | Physical Therapist | 12124 High Tech Ave, Ste 300, Orlando, FL 32817-8373 | 2007-02-02 |
| 1881062057 | Anna Davidovics | Occupational Therapy Assistant | 12124 High Tech Ave, Suite 400, Orlando, FL 32817-8373 | 2015-09-04 |
| 1942686712 | Mary Vinciguerra | Occupational Therapy Assistant | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2015-08-04 |
| 1770976151 | Sabrena Johnson | Physical Therapy Assistant | 12124 High Tech Ave, Ste. 300, Orlando, FL 32817-8373 | 2015-03-10 |
| 1952799439 | Kimberli Mcmillin | Physical Therapist | 12124 High Tech Ave, Ste. 300, Orlando, FL 32817-8373 | 2015-01-06 |
| 1952708083 | Lanedra Lee | Physical Therapist | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2014-12-04 |
| 1730505611 | Katherine Holliday | Physical Therapist | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2014-03-14 |
| 1417379991 | Ray Benzon Dennis David Liwag | Physical Therapist | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2014-01-17 |
| 1811318629 | Elishia Dodge | Occupational Therapist | 12124 High Tech Ave, Suite 300 Attn: Jackson Therapy Partners, Orlando, FL 32817-8373 | 2013-12-20 |
| 1396176392 | Lynn Macbeth | Physical Therapist | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2013-12-02 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
| 1750937157 | Jacqueline Mary Mullay | Speech-Language Pathologist | 4780 Data Court, Orlando, FL 32817 | 2019-08-13 |
| 1457907784 | Austin Bermudez | Physical Therapist | 4780 Data Court, Orlando, Orlando, FL 32817 | 2019-08-13 |
| 1902306244 | Cinthia Paola Gascon Sierra | Behavioral Analyst | 3101 Lake Eastern Blvd Apt 202, Orlando, FL 32817 | 2018-02-13 |
| 1740703032 | Maeleen Chua | Physical Therapist | 3452 Lake Lynda Drive, Suite 200, Orlando, FL 32817 | 2017-07-19 |
| 1669829693 | Katherine Schwab | Counselor | 2562 Rouse Road, Orlando, FL 32817 | 2016-05-19 |
| 1487009569 | Parth Shah | Specialist | 3452 Lake Lynda Dr Ste 151, Orlando, FL 32817 | 2016-04-26 |
| 1801258223 | Jessica Ruch | Occupational Therapy Assistant | 3452 Lake Lynda Dr. Suite 200, Jackson Therapy Partners, Orlando, FL 32817 | 2016-03-24 |
| 1679938823 | Aventus Health LLC | Clinical Medical Laboratory | 11301 Corporate Blvd Ste 315, Orlando, FL 32817 | 2015-12-15 |
| Find all providers in zip 32817 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
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|---|---|---|---|---|
| 1659925758 | Marteng G Adolphe | Registered Nurse | 5530 Arnold Palmer Dr Apt 911, Orlando, FL 32811-1923 | 2019-07-26 |
| 1558926675 | Thomas Tony Susi Jr. | Registered Nurse | 225 E Robinson St Ste 220, Orlando, FL 32801-4368 | 2019-05-03 |
| 1679101273 | Paul Henry Jankowski | Registered Nurse | 1415 Sligh Blvd, Orlando, FL 32806-3954 | 2020-03-30 |
| 1730714494 | Johannys Lopez | Registered Nurse | 225 E Robinson St Ste 220, Orlando, FL 32801-4368 | 2020-03-03 |
| 1043852593 | Kira Elana Peterman-diaz | Registered Nurse | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2019-10-16 |
| 1003469560 | Audrey Wong | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2019-07-23 |
| 1659935328 | Rabecca Katue | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2019-04-27 |
| 1689147985 | Alyssa Basile | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2019-01-09 |
| 1114499316 | Noor S Tamari | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1273 | 2018-12-28 |
| 1700384948 | Rachel Sarah Appoo | Registered Nurse | 7301 Stonerock Cir, Orlando, FL 32819-8004 | 2018-01-23 |
| Find all providers in ORLANDO | ||||
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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.