Phyllis R. Sykes, NP-C
Individual provider Active NPI Family Nurse Practitioner · Aylett, VA
NPI 1376859637 · NPPES record last updated Jan 12, 2015
Key facts
- NPI
- 1376859637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024168883 (VA)
- Practice address
- 11814 King William Rd
Aylett, VA 23009-4103 - Phone
- (804) 769-3022
- Fax
- (804) 769-1253
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120417000871 | VA | Practitioner - Nurse Practitioner | 2769641026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168883 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginia Health Services Inc | Current |
Accepting new patients | |
| Central Virginia Health Services Inc | Current | Accepting new patients | |
| Central Virginia Health Services Inc | Current |
Accepting new patients |
Locations
11814 King William Rd
Aylett, VA 23009
Phone (804) 769-3002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024168883 | VA | Yes |
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
Other providers in Aylett, VA
- Sarah Henley Reed
- Resource Guidance Services Inc
- Guinetta Russell
- Brittany R Sinden
- Jennifer K Stirgwolt
- Irene Molyneux Temple
- Lance Edward Townsend
- Trusted Care Private Duty Services
- Alan K Tupponce
- Upper Mattaponi Indian Tribe
All providers in Aylett, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.