Individual provider Active NPI

Phyllis R. Sykes, NP-C

  • Family Nurse Practitioner
  • Aylett, VA
National Provider Identifier
1376859637
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168883 Issued in VA
Practice address
11814 King William Rd
Aylett, VA 23009-4103
Phone
(804) 769-3022
Fax
(804) 769-1253
NPI assigned
Aug 25, 2010
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 0024168883 VA Primary

Addresses

Primary practice location

11814 King William Rd
Aylett, VA 23009-4103

Mailing address

11814 King William Rd
PO Box 213
Aylett, VA 23009-4103
Phone (804) 769-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120417000871 VA Practitioner - Nurse Practitioner 2769641026 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 15, 2014 Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 15, 2014 Accepting new patients

Locations

11814 King William Rd
Aylett, VA 23009
Phone (804) 769-3002

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1376859637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11814 KING WILLIAM RD",
            "address_2": "PO BOX 213",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230094103",
            "telephone_number": "804-769-3022",
            "fax_number": "804-769-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11814 KING WILLIAM RD",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230094103",
            "telephone_number": "804-769-3022",
            "fax_number": "804-769-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "PHYLLIS",
        "middle_name": "R.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aylett, VA

Sources for this page

Verify at the official NPI Registry.