Ryan Gregory Phillips, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9350866 Issued in FL

Practice address

2893 Executive Park Dr Ste 304
Weston, FL 33331-3667

Phone

(954) 303-9700

NPI assigned

Dec 27, 2017

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1336655455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 EXECUTIVE PARK DR STE 304",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313667",
            "telephone_number": "954-303-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 EXECUTIVE PARK DR STE 304",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313667",
            "telephone_number": "954-303-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RYAN",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9350866",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9350866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BOARD OF NURSING",
            "identifier": "ARNP9350866",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phuc Phan
• Philip-ABA Therapy Center Inc
• Shirly Philip, ARNP
• Florence Dauphin Philippe, ARNP-FNP-C
• Kameisha Philippe, RDN, LDN
• Denis Phillpotts, M.D.
• Physical Therapy Now of Weston Inc (Physical Therapy Now of Weston)
• Physiotherapy Associates Inc
• David Leon Pick, MD
• Stanley Phillip Pierre, MD

• Family Nurse Practitioner in Weston, FL
• Providers in Weston, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.