Janene R Phillips, RN, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9620 Issued in CA

Practice address

690 Guzzi LN Ste C
Sonora, CA 95370-5292

Phone

(209) 233-0333

Fax

(209) 533-0782

NPI assigned

Jul 11, 2006

Last updated

Mar 10, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/73913c65-6ffa-4558-9bd4-9feeebb396eb/

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1144255894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 GUZZI LN STE C",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705292",
            "telephone_number": "209-233-0333",
            "fax_number": "209-533-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 GUZZI LN STE C",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705292",
            "telephone_number": "209-233-0333",
            "fax_number": "209-533-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JANENE",
        "middle_name": "R",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "9620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0055890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel George Petersen, D.D.S.
• Cheryl Lynn Peterson, M.S.
• Jill Peterson, OTR/L
• Steven H Peterson, MD
• Daniel B Phillips, M.D.
• Leanne Marie Piche, PHARMD APH CDCES
• Ronald Lynn Pickern Jr.
• Kimberly Pierce
• Timothy Pilchard, MSPT
• Michael Richard Portillo, M.D.

• Adult Health Nurse Practitioner in Sonora, CA
• Providers in Sonora, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.