Jessica Marjorie Phifer

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

4911 Rockwood Rd
Charlotte, NC 28216-2854

Phone

(704) 621-0693

NPI assigned

Oct 8, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1265907000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 ROCKWOOD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162854",
            "telephone_number": "704-621-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 ROCKWOOD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162854",
            "telephone_number": "704-621-0693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Edgewood Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062740",
            "country_code": "US",
            "telephone_number": "704-621-0693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIFER",
        "first_name": "JESSICA",
        "middle_name": "MARJORIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phenogen Sciences Inc.
• Varsha Laxman Pherwani, MD
• Debra Phifer-Smith
• Britney Mobley Phifer, LMFT
• Charles Maurice Phifer
• Kassondra Phifer
• Doris Mary Therese Philastre, MD
• Ciarra Philipp
• Hannah Philipp, OTD, OTR
• Scott Louis Philippe, O.D.

• Prosthetic/Orthotic Supplier in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.