Anthem Medical Care, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ANTHEM MEDICAL CARE, PLLC

Practice address

5213 Lee St
Lehigh Acres, FL 33971-1530

Phone

(856) 397-6367

NPI assigned

Nov 29, 2024

Last updated

Jan 6, 2025By 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

Mrs. Rachell Phillips, APRNNPI 1275372153

Title

Owner/Ceo

Phone

(856) 397-6367

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Rachell Phillips, APRN FNP-BC

  • Family Nurse Practitioner
  • Lehigh Acres, FL
  • NPI 1275372153
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1326864828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 LEE ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711530",
            "telephone_number": "856-397-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 LEE ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711530",
            "telephone_number": "856-397-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RACHELL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "856-397-6367",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.