Active NPI
Chelsey D Phillips, NP
- Family Nurse Practitioner
- Zachary, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10044
- Practice address
- 1215 Independence Blvd Ste 1a
Zachary, LA 70791-7391 - Phone
- (225) 570-2010
- Fax
- (225) 570-8573
- NPI assigned
- May 31, 2018
- Last updated
- Oct 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP10044 | LA | Primary |
Addresses
Primary practice location
1215 Independence Blvd Ste 1a
Zachary, LA 70791-7391
Mailing address
1215 Independence Blvd Ste 1a
Zachary, LA 70791-7391
Phone (225) 570-2010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP10044 | Other | LA | ADVANCED PRACTICE LICENSE |
| RN137509 | Other | LA | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1215 Independence Blvd
Suite 1a
Zachary, LA 70791-7391
Phone (225) 570-2010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bonin Clinic LLC | Current | Accepting new patients | |
| Baton Rouge General Physicians, Inc. | Past | Accepting new patients |
Locations
1215 Independence Blvd
Ste 1A
Zachary, LA 70791
Phone (225) 570-2010
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Zachary, LA
- NPI 1003280512
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1992729560
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lane Endoscope Center
- Endoscopy Clinic/Center
- Zachary, LA
- NPI 1255080503
Hospital
-
dba Lane Regional Medical Center
- General Acute Care Hospital
- Zachary, LA
- NPI 1376591941
-
dba Lane Regional Medical Center - Lane Health & Wellness Clinic
- Psychiatry Physician
- Zachary, LA
- NPI 1679466577
Hospital
-
dba Lane Regional Medical Center - LANE ALLERGY ASTHMA AND IMMUNOLOGY
- Allergy & Immunology Physician
- Zachary, LA
- NPI 1740061076
Hospital
-
- Gastroenterology Physician
- Zachary, LA
- NPI 1952878506
Hospital
-
dba Lane Regional Medical Center-Lane Dermatology
- Dermatology Physician
- Zachary, LA
- NPI 1992477111
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1356833883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 INDEPENDENCE BLVD STE 1A",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707917391",
"telephone_number": "225-570-2010",
"fax_number": "225-570-8573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 INDEPENDENCE BLVD STE 1A",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707917391",
"telephone_number": "225-570-2010",
"fax_number": "225-570-8573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CHELSEY",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP10044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE LICENSE",
"identifier": "AP10044",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN137509",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.