Active NPI
Angela Y Phillip
- Community Health Worker
- Johnston, RI
National Provider Identifier
1033029475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 202033
- Practice address
- 10 Lindberg Ave
Johnston, RI 02919-2851 - Phone
- (401) 642-5634
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 202033 | RI | Primary |
Addresses
Primary practice location
10 Lindberg Ave
Johnston, RI 02919-2851
Mailing address
10 Lindberg Ave
Johnston, RI 02919-2851
Phone (401) 642-5634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1033029475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LINDBERG AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029192851",
"telephone_number": "401-642-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LINDBERG AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029192851",
"telephone_number": "401-642-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIP",
"first_name": "ANGELA",
"middle_name": "Y",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "RI",
"license": "202033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.