Andrea Diane Phillips, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6268 Issued in CO

Practice address

1044 S 88TH St Ste 109
Louisville, CO 80027-9418

Phone

(303) 665-9549

Fax

(303) 665-9546

NPI assigned

Nov 3, 2006

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Health Marlton LLC

  dba Active Joint and Spine Institute

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1265161905

  Chiropractor

  Medicare reassignment NPD
• Active Health Marmora LLC

  dba Active Joint and Spine Institute

  • Family Medicine Physician
  • Marmora, NJ
  • NPI 1629707369

  Chiropractor

  Medicare reassignment NPD
• Regenerative Medicine of South Jersey LLC

  dba Active Spine and Joint Institute

  • Family Medicine Physician
  • Rio Grande, NJ
  • NPI 1992342109

  Chiropractor

  Medicare reassignment NPD
• Sports and Spine Healthcare LLC

  dba Evergreen Healthcare Associates

  • Neurology Chiropractor
  • Vineland, NJ
  • NPI 1013593748
  Medicare reassignment
• Golden Chiropractic Spa, LLC

  • Chiropractor
  • Anchorage, AK
  • NPI 1265628069
  NPD
• Golden Chiropractic Spa

  dba Cornerstone Chiropractic and Acupuncture

  • Chiropractor
  • Louisville, CO
  • NPI 1275779761
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1316026909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 S 88TH ST STE 109",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279418",
            "telephone_number": "303-665-9549",
            "fax_number": "303-665-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S 88TH ST STE 109",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279418",
            "telephone_number": "303-665-9549",
            "fax_number": "303-665-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANDREA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6268",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "457",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00800200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Kosters Peskosky, O.D.
• Alexandria Pisano Peterson, DNP
• Jonathan Russell Petykowski
• Kayla Pfluger, LCSW
• Coralie Sibylle Phanord, MA
• Shep Adam Phillips, DC
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc.
• Lauren H Pickens, MS RD LD
• Jody Pierce, LCSW

• Chiropractor in Louisville, CO
• Providers in Louisville, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.