Active NPI
Christina Haynes Phillips, NP
- Family Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1275599227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 308680
- Practice address
- 2425 Stockton Blvd
Sacramento, CA 95817-2215 - Phone
- (916) 453-2049
- Fax
- (916) 453-2373
- NPI assigned
- Apr 26, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 308680 | CA | Primary |
Addresses
Primary practice location
2425 Stockton Blvd
Sacramento, CA 95817-2215
Mailing address
8368 Elk Grove Florin Rd
Sacramento, CA 95829-9228
Phone (916) 453-5143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308680 | CA | MD | Physical Therapist |
| 5401 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1275599227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8368 ELK GROVE FLORIN RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958299228",
"telephone_number": "916-453-5143",
"fax_number": "916-286-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172215",
"telephone_number": "916-453-2049",
"fax_number": "916-453-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CHRISTINA",
"middle_name": "HAYNES",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "308680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.