Active NPI
Elizabeth Phillips, CNP
- Family Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1427472604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15264
- Practice address
- 1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162 - Phone
- (216) 695-0240
- Fax
- (877) 670-8001
- NPI assigned
- Feb 10, 2014
- 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 | 15264 | OH | Primary |
Addresses
Primary practice location
1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162
Mailing address
1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162
Phone (216) 695-0240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15264 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1427472604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E STE 1000",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141162",
"telephone_number": "216-695-0240",
"fax_number": "877-670-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E STE 1000",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141162",
"telephone_number": "216-695-0240",
"fax_number": "877-670-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ELIZABETH",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "15264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.