Deanne Lynn Phillips, CFPNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

118979 Issued in CO

Practice address

4411 E Kentucky Ave
#106
Glendale, CO 80246-2009

Phone

(720) 382-3123

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2019.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1083805253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 E KENTUCKY AVE",
            "address_2": "#106",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462009",
            "telephone_number": "720-382-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E KENTUCKY AVE",
            "address_2": "#106",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462009",
            "telephone_number": "720-382-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DEANNE",
        "middle_name": "LYNN",
        "credential": "CFPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "118979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksander Andrzej Orlik, D.D.S.
• Paige Ozegovic, MHS., CCC-SLP
• Vanessa Marie Padilla, MA, LPC
• Jeffrey Kevin Parker, MA, NCC
• Brandon John Perticone, PHARMD
• Emily Irene Poliseo, MA CCC SLP
• Judy Pomerantz, PSY D
• Audrey-Carmel Porter, PHARMD
• Portercare Adventist Health System
• Portercare Adventist Health System

• All providers in Glendale, CO
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.