Carolyn Sue Phillips, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP01936 Issued in NM

Practice address

490A W Zia Rd
Santa Fe, NM 87505-6996

Phone

(505) 913-8900

Fax

(505) 913-8923

NPI assigned

Feb 22, 2012

Last updated

Feb 22, 2012By 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

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1013280056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490A W ZIA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056996",
            "telephone_number": "505-913-8900",
            "fax_number": "505-913-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490A W ZIA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056996",
            "telephone_number": "505-913-8900",
            "fax_number": "505-913-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CAROLYN",
        "middle_name": "SUE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP01936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmaca Integrative Pharmacy, Inc. (Medly Pharmacy)
• Sandy Gail Phelps-Canzone, D.O.M.
• Jacqueline Paulina Phelps
• Philip Treu OD PC (Santa Fe Eyes)
• Phillips Hearing Aid Center, Inc. (Sandia Hearing Aids)
• Janet M. Phillips, RN
• Nancy Phillips, DN
• William Cliff Phillips, HAD
• Phyllis Nadine Gonzales (Universal Chiropractic Dr. P.Nadine Gonzales, LLC)
• Physicians Medical Center of Santa Fe, LLC

• Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.