Krystal Inman Phillips, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024179235 Issued in VA

Practice address

15 Cleveland Ave Ste 14
Martinsville, VA 24112-2937

Phone

(276) 632-9714

NPI assigned

Jun 8, 2020

Last updated

Jun 8, 2020By 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

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21964/brand/1/csg/1/fhir/r4

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

• Mid-Atlantic Quickcare PLLC

  dba Integrity Health, PLLC

  • Family Medicine Physician
  • Woodlawn, VA
  • NPI 1225383243
  Medicare reassignment NPD

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1104441997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLEVELAND AVE STE 14",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122937",
            "telephone_number": "276-632-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CLEVELAND AVE STE 14",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122937",
            "telephone_number": "276-632-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KRYSTAL",
        "middle_name": "INMAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PHC - Martinsville Inc
• PHC - Martinsville Inc (Home Care of Memorial Hospital)
• PHC-Martinsville Inc
• PHC-Martinsville, Inc. (Memorial Hospital of Martinsville and Henry County)
• Jennifer Walker Phelps, NURSE PRACTITIONER
• Phoenix Home Care of Virginia
• Physician Management Services of Virginia II, LLC
• Piedmont Access to Health Services, Inc (PATHS Community Pharmacy)
• Piedmont Access to Health Services, Inc (Health Center of the Piedmont Martinsville)
• Piedmont Dermatology Center, PC

• Family Nurse Practitioner in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.