Individual provider Active NPI

Ardythe Phillips

  • Registered Nurse
  • Hyannis, MA
National Provider Identifier
1295988293
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
103903 Issued in MA
Practice address
30 Elm Ave
Hyannis, MA 02601-5547
Phone
(508) 778-0300
NPI assigned
Nov 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 103903 MA Primary

Addresses

Primary practice location

30 Elm Ave
Hyannis, MA 02601-5547

Mailing address

50 Redfield St
Suite 302
Dorchester, MA 02122-3630
Phone (617) 506-5160

Other names 1

  • Ardithe Phillips Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103903MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Services Past Accepting new patients
Harbor Health Services Inc Past Accepting new patients
Harbor Health Services, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1295988293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 REDFIELD ST",
            "address_2": "SUITE 302",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223630",
            "telephone_number": "617-506-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ELM AVE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015547",
            "telephone_number": "508-778-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ARDYTHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "103903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARDITHE",
            "last_name": "PHILLIPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.