GLENDA A. PHILLIPS (NPI# 1982628798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982628798 |
| Entity Type | Individual |
| Full Name | GLENDA A. PHILLIPS |
| Credential | C.N.M, A.R.N.P. |
| Practice Address |
8075 Gate Pkwy W Ste 305 Jacksonville FL 32216-3685 |
| Mailing Address |
Po Box 16568 Jacksonville FL 32245-6568 |
| Practice Telephone | 9042962992 |
| Practice Fax Number | 9042962993 |
| Mailing Telephone | 9044722300 |
| Mailing Fax Number | 9044722330 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
ARNP 893572 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367A00000X | Advanced Practice Midwife | ARNP 893572 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 307864700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4203 Belfort Rd Ste 204, Jacksonville, FL 322161463 | 9042965688 | 9042965699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013417435 | Glenda Renee Phillips | Nurse Practitioner | 101 E Main St, Louisville, KY 40202-1349 | 2018-02-13 |
| Street Address |
8075 GATE PKWY W STE 305 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-3685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912325333 | Gustava Townsend Zimmer | Advanced Practice Midwife | 4203 Belfort Rd Ste 204, Jacksonville, FL 32216-1463 | 2014-04-02 |
| 1346259066 | Bougainvilla T Bailey | Advanced Practice Midwife | 1760 Edgewood Ave., West, Jacksonville, FL 32208 | 2006-08-05 |
| 1891746459 | Lila K Choulat | Advanced Practice Midwife | 1780 W 45th St, Suite 1, Jacksonville, FL 32209-3195 | 2006-05-16 |
| 1851394316 | Janis K Cox | Advanced Practice Midwife | 250 Memorial Dr, Jacksonville, NC 28546-6332 | 2005-05-27 |
| 1023634003 | Jamie Leann Neal | Advanced Practice Midwife | 11945 San Jose Blvd Ste 400, Jacksonville, FL 32223-1627 | 2020-06-24 |
| 1003393166 | Whitney A Rapp | Advanced Practice Midwife | 655 W 8th St, Jacksonville, FL 32209-6511 | 2018-07-23 |
| 1417479023 | Amanda Rose Carryl | Advanced Practice Midwife | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2017-07-14 |
| 1578015095 | Katherine Washburn | Advanced Practice Midwife | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2016-11-01 |
| 1265820757 | Kim Faust | Advanced Practice Midwife | 6871 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2015-01-06 |
| 1477969442 | Catalina Maria Valencia | Advanced Practice Midwife | 245 Memorial Dr, Jacksonville, NC 28546-6333 | 2014-07-10 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.