Organization Active NPI

Nora Phillips LLC

  • Family Nurse Practitioner
  • Wahiawa, HI
National Provider Identifier
1225617467
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NORA PHILLIPS LLC
Practice address
935 California Ave Ste B17
Wahiawa, HI 96786-2166
Phone
(808) 778-7286
Fax
(808) 278-6398
NPI assigned
Apr 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Dr. Nora A Phillips, APRNNPI 1487239323
Title
Owner
Phone
(808) 778-7286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

935 California Ave Ste B17
Wahiawa, HI 96786-2166

Mailing address

2622 Nonohe St
Wahiawa, HI 96786-2843
Phone (808) 778-7286

Other names 2

  • CENTRAL HEALTH Doing business as
  • NORA PHILLIPS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210520001575 HI Part B Supplier - Clinic/Group Practice 5698174829 Receives reassigned benefits from 1 practitioner
Practice locations: Wahiawa, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2241491Central Health935 California Avenue, Suite B-17, Wahiawa, HI 96786Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1225617467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 NONOHE ST",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862843",
            "telephone_number": "808-778-7286",
            "fax_number": "808-278-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 CALIFORNIA AVE STE B17",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862166",
            "telephone_number": "808-778-7286",
            "fax_number": "808-278-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA PHILLIPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-778-7286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORA PHILLIPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.