Natasha Phillips, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C05367 Issued in MD

Practice address

16 Greenmeadow Dr
Suite G-105
Timonium, MD 21093-3200

Phone

(410) 561-5773

Fax

(410) 308-6426

NPI assigned

May 29, 2014

Last updated

May 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1396157004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GREENMEADOW DR",
            "address_2": "SUITE G-105",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933200",
            "telephone_number": "410-561-5773",
            "fax_number": "410-308-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GREENMEADOW DR",
            "address_2": "SUITE G-105",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933200",
            "telephone_number": "410-561-5773",
            "fax_number": "410-308-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NATASHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C05367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naomi Pickett
• Pietrowski-Tsui Chiropractic P C (The Center for Advanced Physical Health)
• Colleen Pietrowski, D.C.
• Pikesville Behavioral Health Center

• Medical Physician Assistant in Timonium, MD
• Providers in Timonium, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.