Holly Ann Phillips, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

329048 Issued in MO

Practice address

1901 S Ventura Ave Ste B
Springfield, MO 65804-2700

Phone

(417) 233-1100

Fax

(417) 622-4454

NPI assigned

Sep 23, 2022

Last updated

Sep 23, 2022By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1053034108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S VENTURA AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042700",
            "telephone_number": "417-233-1100",
            "fax_number": "417-622-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S VENTURA AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042700",
            "telephone_number": "417-233-1100",
            "fax_number": "417-622-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4852 West Bypass",
            "address_purpose": "LOCATION",
            "city": "Battlefield",
            "state": "MO",
            "postal_code": "65619",
            "country_code": "US",
            "telephone_number": "417-209-7793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MO",
            "license": "329048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew T Phelps, LMSW
• Elizabeth Carrie Phelps, PA-C
• Jamie Phelps, MD
• Jordan Phenicie, PA
• Emilie Noel Phillips
• James Lee Phillips, DO
• Katherine R Phillips, MS CCC SLP
• Kathleen Phillips, M.S., CCC-SLP
• Martha Phillips, LCSW
• Mindi J Phillips, MED, PLPC

• Lactation Consultant (Non-RN) in Springfield, MO
• Providers in Springfield, MO by specialty
• Lactation Consultant (Non-RN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.