Brenda Lee Phillips, DNP PMHNP-BC, FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R852932 Issued in MS

Practice address

1451 N Lakeland Dr
Meridian, MS 39307-9020

Phone

(601) 581-8526

NPI assigned

May 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Mississippi State Hospital

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1346522653
  NPD
• East Mississippi State Hospital

  • Nursing Facility/Intermediate Care Facility
  • Meridian, MS
  • NPI 1629394853
  NPD
• East Mississippi State Hospital

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1972689313
  NPD
• Maxie Gordon MD & Associates, PLLC

  • Psychiatry Physician
  • Clinton, MS
  • NPI 1114105665
  NPD
• NP Care Anywhere LLC

  • Adult Medicine Physician
  • Clinton, MS
  • NPI 1609718915
  NPD

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1306105705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393044128",
            "telephone_number": "601-581-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 N LAKELAND DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393079020",
            "telephone_number": "601-581-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "DNP PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R852932",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R852932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08689796",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hai Tan Pham, MD
• Minh Pham, MD
• Phi Health, LLC
• Francis M. Phillippi III, M.D.
• Phillips Eye Care, Inc.
• Douglas Craig Phillips, M.D.
• Leah Denise Phillips, FNP
• Mark T Phillips, M.D.
• Tracy B Phillips, O.D.
• Phoenix Kids Care PLLC

• Psychiatric/Mental Health Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.