Mini M Philip, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

687788 Issued in TX

Practice address

3531 Town Center Blvd S
Suite 101
Sugar Land, TX 77479-2590

Phone

(281) 491-3225

Fax

(281) 491-1702

NPI assigned

May 16, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trumen Physician and Associates Post Acute PLLCGroup PAC ID 5496236788, 127 clinicians

Trumen Physicians and Associates PLLCGroup PAC ID 7618006883, 133 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trumen Physicians and Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1134442320
  Medicare reassignment Care Compare group NPD
• Trumen Physician and Associates Post Acute PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1316801004
  Medicare reassignment Care Compare group
• Houston in Patient Physician Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Sugar Land, TX
  • NPI 1871892646
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1265725840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 TOWN CENTER BLVD S",
            "address_2": "SUITE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792590",
            "telephone_number": "281-491-3225",
            "fax_number": "281-491-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 TOWN CENTER BLVD S",
            "address_2": "SUITE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792590",
            "telephone_number": "281-491-3225",
            "fax_number": "281-491-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "MINI",
        "middle_name": "M",
        "credential": "GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "687788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "687788",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmedium Services LLC
• Pharmogic LLC
• Blessy Philip, PHARMD
• Jini Simon Philip, DPM
• Jojus Philip, PT
• Robin Philipose, OTR/L
• Mary Clifford Philips, MD
• Jordan Schier Phillips, OTD
• Kimberly Phillips, PHD, LCSW
• Lauren M Phillips, M.D

• Gerontology Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.
• 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.