Theresa C Phillips, MSN APRN, BC

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

088676 Issued in MO

Practice address

1616 Industrial Dr
Cole County Health Department
Jefferson City, MO 65109-1471

Phone

(573) 636-2181

Fax

(573) 635-7534

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By 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

Master of Science - Nursing, Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Cole

  dba Cole County Emergency Medical Services

  • Land Ambulance
  • Jefferson City, MO
  • NPI 1407082746
  NPD (past)
• County of Cole

  dba Cole County Health Department

  • Public Health or Welfare Agency
  • Jefferson City, MO
  • NPI 1992878177
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407952062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 RIVERVIEW DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014370",
            "telephone_number": "573-659-6692",
            "fax_number": "573-635-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 INDUSTRIAL DR",
            "address_2": "COLE COUNTY HEALTH DEPARTMENT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091471",
            "telephone_number": "573-636-2181",
            "fax_number": "573-635-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "THERESA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MSN APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MO",
            "license": "088676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Peters
• Stephanie Petersen
• Cole Ryan Petershagen, PHARM.D.
• Danny Keith Peterson, DC
• Marissa Leigh Peterson, M.S., LPC
• Phoenix Home Care, LLC (Phoenix Home Care)
• Phoenix Home Care, LLC (Phoenix Home Care & Hospice)
• Physicians Imaging, LLC
• Physicians Optical Service Inc
• Uldis V Pironis, RPH

• Community Health Nurse Practitioner in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Community Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.