Individual provider Active NPI

Elizabeth Raznick Phillips, MSN,FNP-C

  • Family Nurse Practitioner
  • Pulaski, TN
National Provider Identifier
1316244643
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN6710 Issued in TN
Practice address
1150 E College St
Pulaski, TN 38478-4519
Phone
(931) 363-2925
Fax
(931) 363-9563
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15658 TN
Family Nurse Practitioner 363LF0000X APN6710 TN Primary

Addresses

Primary practice location

1150 E College St
Pulaski, TN 38478-4519

Mailing address

1150 E College St
Pulaski, TN 38478-4519
Phone (931) 363-2925

Other identifiers 2

IdentifierTypeStateIssuer
1527392MedicaidTN
15658OtherTNDEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000012 TN Practitioner - Nurse Practitioner 8224213954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Valley Family Care PLLCGroup PAC ID 4880728286, 4 clinicians

Practice addresses (Care Compare)

1150 E College St
Pulaski, TN 38478-4519
Phone (931) 363-2925

Hospital & facility affiliations

  • Southern Tennessee Regional Health System Pulaski Hospital, Pulaski, TN, CCN 440020
  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APN6710TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
N8 Health Centers, P.C. CurrentSince Jul 1, 2011 Accepting new patients
Tennessee Valley Family Care, PLLC Family CurrentSince Jan 27, 2012 Accepting new patients
Tennessee Valley Specialty Center PastSince Jan 1, 2000 Accepting new patients

Locations

438 N 1st St
Ste A
Pulaski, TN 38478
Phone (931) 292-6356

1150 E College St
Pulaski, TN 38478
Phone (931) 363-2925

Interoperability endpoints

  • Direct secure messaging: elizabeth.phillips@tvfc.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1316244643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784519",
            "telephone_number": "931-363-2925",
            "fax_number": "931-363-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784519",
            "telephone_number": "931-363-2925",
            "fax_number": "931-363-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ELIZABETH",
        "middle_name": "RAZNICK",
        "name_prefix": "Ms.",
        "credential": "MSN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN6710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527392",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "15658",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.