Phillips Mental Health Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PHILLIPS MENTAL HEALTH CENTER

Practice address

1522 Morgan St
Keokuk, IA 52632-4028

Phone

(319) 524-0510

Fax

(319) 524-0609

NPI assigned

Sep 11, 2024

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine A Phillips, PMHNPNPI 1013410158

Title

Owner

Phone

(319) 524-0510

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Anne Phillips, APRN-FNP-BC

  • Family Nurse Practitioner
  • Warsaw, IL
  • NPI 1013410158
  NPD Authorized official

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1316773757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 MORGAN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526324028",
            "telephone_number": "319-524-0510",
            "fax_number": "319-524-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 MORGAN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526324028",
            "telephone_number": "319-524-0510",
            "fax_number": "319-524-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-524-0510",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Denise Moehn, RN
• Candice Lynn Murrell-Cannon, LCPC, LMHC, NCC
• Sripal Aditya Padam, M.D,
• Peter D. Perll, MD
• Eugenia Kay Petersen
• Planned Parenthood of the Heartland
• Christa H Poggemiller, RN
• Dena Prainito
• Kristin Pullins, NP
• Quincy Physicians & Surgeons Clinic, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Keokuk, IA
• Providers in Keokuk, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.