Active NPI
Candice Phillips, APN
- Advanced Practice Midwife
- Aurora, IL
National Provider Identifier
1457627382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209009411
- Practice address
- 1300 N Highland Ave
Suite 5
Aurora, IL 60506-1451 - Phone
- (630) 897-7700
- Fax
- (630) 897-7701
- NPI assigned
- Mar 26, 2012
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 209009411 | IL | Primary |
Addresses
Primary practice location
1300 N Highland Ave
Suite 5
Aurora, IL 60506-1451
Mailing address
1000 Remington Boulevard
Suite 100 (Attn: Melvonne Jones)
Bolingbrook, IL 60440-5114
Phone (630) 897-7700
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 Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209009411 | IL | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332720000000",
"number": "1457627382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 REMINGTON BOULEVARD",
"address_2": "SUITE 100 (ATTN: MELVONNE JONES)",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604405114",
"telephone_number": "630-897-7700",
"fax_number": "630-897-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N HIGHLAND AVE",
"address_2": "SUITE 5",
"city": "AURORA",
"state": "IL",
"postal_code": "605061451",
"telephone_number": "630-897-7700",
"fax_number": "630-897-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CANDICE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-26",
"last_updated": "2012-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209009411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.