Anita S Philipose, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3540P Issued in KY

Practice address

1303 N Main St Ste C
Shelbyville, TN 37160-2331

Phone

(502) 417-4956

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Anita S Varghese Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Immediate Care Clinic, PLLC

  • Clinic/Center
  • Shelbyville, TN
  • NPI 1699919399
  NPD (past) Authorized official
• Molloy G. Veal MD PSC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1700109832
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1043327729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST STE C",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602331",
            "telephone_number": "502-417-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST STE C",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602331",
            "telephone_number": "502-417-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPOSE",
        "first_name": "ANITA",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3540P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500020605",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78005915",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "VARGHESE",
            "middle_name": "S",
            "credential": "RN,BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Priscilla Patel
• Sky S Patel
• Patients First Homecare
• Barbara Peoples
• Jessica Deann Peters
• Christopher Paul Phillips
• Physynergy, LLC
• Jan Pitts, APRN
• Cassie Pollock, LPN
• Wayne A Potter, DC

• Nurse Practitioner in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.