Individual provider Active NPI

Deborah B Phillips, C-FNP

  • Family Nurse Practitioner
  • Morehead City, NC
National Provider Identifier
1346266038
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200918 Issued in NC
Practice address
3004 Bridges St
Morehead City, NC 28557-3330
Phone
(252) 727-4933
Fax
(252) 727-4936
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200918 NC Primary

Addresses

Primary practice location

3004 Bridges St
Morehead City, NC 28557-3330

Mailing address

3004 Bridges St
Morehead City, NC 28557-3330
Phone (252) 727-4933

Other identifiers 1

IdentifierTypeStateIssuer
7003787MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060206000686 NC Practitioner - Nurse Practitioner 8426062886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200918NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Physicians CurrentSince Jul 1, 2018 Accepting new patients
Kasselt Bone and Joint Center, P.a. Past Accepting new patients

Locations

2104 N Herritage St
Kinston, NC 28501
Phone (252) 522-3663

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJIBD/Endpoint/JEJIBD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1346266038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573330",
            "telephone_number": "252-727-4933",
            "fax_number": "252-727-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573330",
            "telephone_number": "252-727-4933",
            "fax_number": "252-727-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DEBORAH",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003787",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.