Muriel Denise Philipp, CNP, MA, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R091756-2 Issued in MN

Practice address

1155 Ford Rd
Suite B
St Louis Park, MN 55426-1099

Phone

(952) 378-1800

Fax

(952) 378-1714

NPI assigned

Jul 25, 2013

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1194167643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 FORD RD",
            "address_2": "SUITE B",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261099",
            "telephone_number": "952-378-1800",
            "fax_number": "952-378-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 FORD RD",
            "address_2": "SUITE B",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261099",
            "telephone_number": "952-378-1800",
            "fax_number": "952-378-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPP",
        "first_name": "MURIEL",
        "middle_name": "DENISE",
        "credential": "CNP, MA, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "R091756-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Petrich, PT
• Suzanne Marie Pflaum, PA-C
• Hailey Pham, DCM
• Parkpoom Phatharacharukul, M.D.
• Dennis A Philander, MD
• Becky Philipsek, PA
• Alicia C Phillips, R.D.
• Christian Phillips, M.D.
• Kristi K. Phillips, PSY.D
• Rebecca Phillips, RDN, LD

• Psychiatric/Mental Health Nurse Practitioner in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.