Active NPI
Mary Phillips
- Attendant Care Provider
- South Chesterfield, VA
National Provider Identifier
1154094902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 20100 Shire Oak Dr
South Chesterfield, VA 23803-1417 - Phone
- (804) 590-9246
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | VA | Primary |
Addresses
Primary practice location
20100 Shire Oak Dr
South Chesterfield, VA 23803-1417
Mailing address
20100 Shire Oak Dr
South Chesterfield, VA 23803-1417
Phone (804) 590-9246
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1154094902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20100 SHIRE OAK DR",
"city": "SOUTH CHESTERFIELD",
"state": "VA",
"postal_code": "238031417",
"telephone_number": "804-590-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20100 SHIRE OAK DR",
"city": "SOUTH CHESTERFIELD",
"state": "VA",
"postal_code": "238031417",
"telephone_number": "804-590-9246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"address_1": "20100 Shire Oak Dr",
"city": "South Chesterfield",
"state": "VA",
"country_code": "US",
"postal_code": "238031417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.