Individual provider Active NPI

Janice C Phillips, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1164860136
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021124 Issued in FL
Practice address
1150 45TH St
West Palm Beach, FL 33407-2361
Phone
(561) 514-5300
Fax
(561) 514-5538
NPI assigned
Jun 12, 2013
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11021124 FL Primary
Registered Nurse 163W00000X 226501 NY

Addresses

Primary practice location

1150 45TH St
West Palm Beach, FL 33407-2361

Mailing address

800 Clematis St Ste 5-531
West Palm Beach, FL 33401-5107
Phone (561) 671-4036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
226501NYMDRegistered Nurse
11021124FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Mar 3, 2023 Accepting new patients
Florida Department of Health CurrentSince Mar 3, 2023 Accepting new patients

Locations

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

1150 45th St
West Palm Beach, FL 33407
Phone (561) 514-5300

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

800 Clematis St
Ste 5531
West Palm Beach, FL 33401
Phone (561) 671-4036

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1164860136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLEMATIS ST STE 5-531",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015107",
            "telephone_number": "561-671-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072361",
            "telephone_number": "561-514-5300",
            "fax_number": "561-514-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JANICE",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2023-01-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021124",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "226501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.