Active NPI
Juliette Michelle Dephilippis, PA-C
- Physician Assistant
- Brookings, OR
National Provider Identifier
1457165151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA226542
- Practice address
- 97825 Shopping Center Ave
Brookings, OR 97415-9403 - Phone
- (541) 412-9800
- Fax
- (541) 412-9600
- NPI assigned
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA226542 | OR | Primary |
Addresses
Primary practice location
97825 Shopping Center Ave
Brookings, OR 97415-9403
Mailing address
PO Box 2742
Brookings, OR 97415-0326
Phone (858) 222-9404
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA226542 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chetco Medical & Aesthetics LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Brookings, OR
- NPI 1316555428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1457165151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2742",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974150326",
"telephone_number": "858-222-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97825 SHOPPING CENTER AVE",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159403",
"telephone_number": "541-412-9800",
"fax_number": "541-412-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPHILIPPIS",
"first_name": "JULIETTE",
"middle_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA226542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.