Jennifer Nicole Phillips, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

339957 Issued in OH

Practice address

16118 Huntmere Ave
Cleveland, OH 44110-1545

Phone

(216) 531-2584

NPI assigned

Aug 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1386891331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16118 HUNTMERE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441101545",
            "telephone_number": "216-531-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16118 HUNTMERE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441101545",
            "telephone_number": "216-531-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "339957",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "339957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ceaira Phillips, LPN
• Cheyenne Phillips, MFT
• Elizabeth Phillips, CNP
• Emily Taylor Phillips, PHARMD, RPH
• Irena Caprice Phillips
• Jessica Marie Phillips, LPN
• Kelly Phillips, LISW
• Kiara Phillips
• Laranda Phillips
• Lashawna Phillips

• Home Health Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.