Jennifer Marie Phillips
Nurse Practitioner (Family)

Address: 715 Rainbow Forest Dr, Lynchburg, VA 24502-3035
Phone: 4344201654

Jennifer Marie Phillips (NPI# 1144724501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1144724501
Entity Type Individual
Full Name Jennifer Marie Phillips
Credential FNP-C
Gender Female
Practice Address 715 Rainbow Forest Dr
Lynchburg
VA 24502-3035
Practice Telephone 4344201654
Mailing Address 715 Rainbow Forest Dr
Lynchburg
VA 24502-3035
Mailing Telephone 4344201654
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-03-21
Last Update Date 2018-03-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 0024175990 VA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1740887074 Jennifer Russell Phillips Music Therapist 50 N Plymouth Ave, Rochester, NY 14614-1221 2020-10-09
1043834195 Jennifer Phillips Occupational Therapist 1 Keefe Ave, Newton, MA 02464-1316 2020-06-04
1508328998 Jennifer Alison Phillips Nurse Practitioner 6101 Ne 107th St, Oklahoma City, OK 73151-9560 2019-04-03
1366911794 Jennifer Patricia Phillips Occupational Therapist 2558 Wilson Ave, Bronx, NY 10469-5609 2018-11-14
1063895795 Jennifer Phillips Speech-Language Pathologist 7017 Citrus Point Ct, Winter Park, FL 32792-7500 2015-06-30
1316344757 Jennifer Phillips Social Worker 1085 Poplar Ave, Memphis, TN 38105-4724 2014-12-01
1053740944 Jennifer Phillips Marriage & Family Therapist 812 Gradyhill Pl, Midlothian, VA 23114-3362 2013-11-01
1780016626 Jennifer Phillips Pharmacist 610 N. Main St., Princeton, IL 61356 2013-08-02
1568808939 Jennifer Ruth Phillips Social Worker Department of Veteran Affairs Southern Az Va, 3601 South 6th Avenue, Tucson, AZ 85723-0001 2013-05-13
1841585429 Jennifer C Phillips Physical Therapist 298 W South Ave, Canton, PA 17724-1765 2011-06-13
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Physician Overview

NPI 1144724501
PAC ID by PECOS 1355691635
Professional Enrollment ID I20180906003381
Full Name Jennifer E Phillips
Organization Legal Name CENTRA MEDICAL GROUP LLC
Phone Number 5402977181
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4789606088
Number of Group Practice Members 583
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490021 CENTRA
490088 CENTRA BEDFORD MEMORIAL HOSPITAL

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come…

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275134694 Samantha Bonita Wilkins-copeland Nurse Practitioner 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 2020-11-03
1528525276 Julia M Mcauley-gonzalez Nurse Practitioner Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 2019-02-28
1932697596 Barbara J Frost Nurse Practitioner 906 Westview Dr, Lynchburg, VA 24502 2018-04-28
1831638691 Melissa Smedley Nurse Practitioner 491 Majors Blvd, Lynchburg, TN 37352-8344 2017-02-13
1669827952 Anthony Glenn Hamlett Nurse Practitioner 241 Beverly Hills Cir, Lynchburg, VA 24502-5241 2016-04-25
1609278514 Darin Mckinney, Fnp-c Nurse Practitioner 8900 Ohio 134, Lynchburg, OH 45142 2014-09-23
1255615233 Kirsten L Hinson Nurse Practitioner 1701 Thomson Drive, Suite 200, Lynchburg, VA 24501 2011-10-07
1225110166 Mark Francis Hankins Nurse Practitioner 125 Nationwide Drive, Lynchburg, VA 24502-4272 2006-10-19
1174604656 Kristie Lynn Markham Nurse Practitioner 2015 Tate Springs Rd Lowr Level Suite 2, Lynchburg, VA 24501-1111 2006-10-18
1396779492 Deborah L Allen Nurse Practitioner 307 Alleghany Ave, Lynchburg, VA 24501-2605 2006-07-11
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Office Location

Street Address 715 RAINBOW FOREST DR
City LYNCHBURG
State VA
Zip Code 24502-3035

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811523038 Vivian Tran Student in an Organized Health Care Education/Training Program Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 2020-03-19
1669005468 Beth Elaine Hammond Nurse Practitioner 132 Frederick Drive, Lynchburg, VA 24502 2020-02-20
1225672348 Pearlren-aye Elizabeth Taylor Case Management 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 2019-10-31
1821553868 Shavonne D Joyner Behavior Analyst 18697 Forest Road, Lynchburg, VA 24502 2019-02-04
1043794415 Robert Patrick Thomas Private Vehicle 44 Point Drive, Apt 30, Lynchburg, VA 24502 2018-09-20
1023503521 Ptc Wellness Centers PC Family Medicine 2832 Candlers Mtn Rd, Lynchburg, VA 24502 2018-06-27
1548750722 Raymond W Andrews IIi Speech-Language Pathologist 3101 Wards Ferry Road, Lynchburg, VA 24502 2018-05-14
1932697596 Barbara J Frost Nurse Practitioner 906 Westview Dr, Lynchburg, VA 24502 2018-04-28
1619476983 Benjamin Aaron Galley Specialist/Technologist 1971 University Blvd., Lynchburg, VA 24502 2018-02-01
1477076180 Candice Cage Home Health 1002 Wexford Place, Lynchburg, VA 24502 2017-07-25
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Competitor

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City LYNCHBURG
Zip Code 24502

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Dataset Information

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.