Active NPI
Holly Nicole Phillippe, DO
- Neurology with Special Qualifications in Child Neurology Physician
- Saint Louis, MO
National Provider Identifier
1275117707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 2026002394
- Practice address
- 1 Childrens PL
Saint Louis, MO 63110-1002 - Phone
- (314) 454-6120
- NPI assigned
- May 11, 2021
- Last updated
- Jul 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 2026002394 | MO | Primary |
Addresses
Primary practice location
1 Childrens PL
Saint Louis, MO 63110-1002
Mailing address
660 S Euclid Ave
Saint Louis, MO 63110-1010
Phone (314) 454-6120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260615000392 | MO | Practitioner - Neurology | 8921407370 |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1234 S Kingshighway
Suite 1800
Saint Louis, MO 63110-1010
660 S Euclid Ave
Saint Louis, MO 63110-1010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026-00802 | NC | MD | Neurology with Special Qualifications in Child Neurology Physician |
Interoperability endpoints
- hphillippe355282@directhisp.wakemed.org
- hphillippe726248@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1275117707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-454-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101002",
"telephone_number": "314-454-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPPE",
"first_name": "HOLLY",
"middle_name": "NICOLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MO",
"license": "2026002394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Shiphie M Philipose-Silva, FNP
- Kristen Taylor Philipp, ACNP
- Jennifer Ann Philips, MD
- Phillipmary Senior Health Services LLC
- Phillipmary Senior Services LLC
- Rachel Phillips Barnidge, NURSE PRACTRIONER
- Phillips Professional Home Health Service
- Phillips Professional Home Health Service
- Phillips Professional Home Health Service
- Nancy L. Phillips-Kuelker, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.