Hallena Phillips

Primary specialty

Social WorkerTaxonomy code 104100000X

License

001413 Issued in IA

Practice address

216 W Division St
Clarinda, IA 51632-2509

Phone

(712) 542-2388

Fax

(712) 542-2984

NPI assigned

Jan 26, 2015

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

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clarinda Regional Health Center

  • Critical Access Hospital
  • Clarinda, IA
  • NPI 1366486946
  Medicare reassignment NPD
• Clarinda Regional Health Center

  dba Clarinda Medical Associates

  • Family Medicine Physician
  • Clarinda, IA
  • NPI 1629196241
  Medicare reassignment NPD
• Waubonsie Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Clarinda, IA
  • NPI 1376698837
  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1053701276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W DIVISION ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322509",
            "telephone_number": "712-542-2388",
            "fax_number": "712-542-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W DIVISION ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322509",
            "telephone_number": "712-542-2388",
            "fax_number": "712-542-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HALLENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "001413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Page Care Facility (Terrace View Residential)
• Page Care Facility (Terrace View Residential)
• Page Home Care
• Phill Mont Company (Medicap Pharmacy)
• Jennifer N Phillips-Herrington, L.B.S.W.
• Douglas Elton Poland, L.M.S.W.
• Dawn Louise Pulliam
• Pure Health Services LLC
• Pure Rehabilitation LLC
• Brian Kenneth Rarick, DPM

• Social Worker in Clarinda, IA
• Providers in Clarinda, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.