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JADA PHILLIPS
NPI 1184471930
Student in an Organized Health Care Education/Training Program in Columbia, MO

Active since May 01, 2024PECOS Enrolled
745 KENTUCKY BLVD, COLUMBIA, MO 65211(573) 882-9219 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jada Phillips NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADA PHILLIPS (NPI 1184471930) is an individual student in an organized health care education/training program in Columbia, Missouri and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184471930
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJADA PHILLIPS
Location Address745 KENTUCKY BLVDColumbia, MO 65211-5526
Mailing Address745 Kentucky BlvdColumbia, MO 65211-5526
Phone(573) 882-9219
Sole ProprietorNo
Enumeration DateMay 1, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1184471930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

745 KENTUCKY BLVD, Columbia, MO 65211
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jada Phillips is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALANA LABASCHIN
Student in an Organized Health Care Education/Training Program
745 KENTUCKY BLVD
COLUMBIA, MO 65211
Callaway County (573) 882-9219
MR. CONNOR SIERRA
Student in an Organized Health Care Education/Training Program
745 KENTUCKY BLVD, PATIENT-CENTERED CARE LEARNING CENTER, ROOM LC340
COLUMBIA, MO 65211
Callaway County (573) 882-1528

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jada Phillips's NPI number?

The NPI number for Jada Phillips is 1184471930. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Jada Phillips located?

Jada Phillips practices at 745 Kentucky Blvd, Columbia, MO 65211. The listed phone number is (573) 882-9219.

What is Jada Phillips's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jada Phillips enrolled in Medicare?

Yes. Jada Phillips is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jada Phillips was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.