Natalie J Phillip, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN139424 Issued in GA

Practice address

16113 Rambling Rd
Odessa, FL 33556-6066

Phone

(770) 870-7572

NPI assigned

Mar 16, 2022

Last updated

Mar 17, 2022By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

Practice roles

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

• Optimum Health LLC

  • Registered Nurse
  • Odessa, FL
  • NPI 1306505623
  NPD Authorized official

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1285382465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16113 RAMBLING RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566066",
            "telephone_number": "770-870-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16113 RAMBLING RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566066",
            "telephone_number": "770-870-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "NATALIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN139424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Alexandra Peguero
• Alina Perez Aldana
• Brittney Perez
• Ronald Anthony Perez
• Amber Pettis, MS
• Debbie Phillips, FNP-C
• Kathryn Broecker Pinto, DMD
• Alexys Pogue
• Jennifer Poling
• Maribeth Poole, CCC SLP

• Registered Nurse in Odessa, FL
• Providers in Odessa, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.