Shaunette Phillips

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2024008694 Issued in FL

Practice address

1037 S State Road 7 Ste 211
Wellington, FL 33414-6139

Phone

(561) 798-3030

NPI assigned

Dec 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shaunette Eubank Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Innovacare Florida Physicians LLCGroup PAC ID 0244611382, 17 clinicians

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27472/brand/9/csg/1/fhir/r4
• Direct secure messaging: shaunette.phillips.1@27472.direct.athenahealth.com

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Innovacare Florida Physicians, LLC

  • Family Medicine Physician
  • Wellington, FL
  • NPI 1316694508
  Medicare reassignment Care Compare group NPD
• Premier Urgent Care Center, LLC

  • Urgent Care Clinic/Center
  • Wellington, FL
  • NPI 1740501576
  Medicare reassignment NPD
• Ace Comprehensive Heath and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Worth, FL
  • NPI 1891530150
  NPD Authorized official
• Premier Family Health

  • Family Medicine Physician
  • Wellington, FL
  • NPI 1245249655
  NPD
• Premier Physician Holdings, LLC

  • Urgent Care Clinic/Center
  • Wellington, FL
  • NPI 1831838010
  NPD
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1568563187
  NPD (past)

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1467090423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8937 GULF RUN WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671105",
            "telephone_number": "561-389-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7 STE 211",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146139",
            "telephone_number": "561-798-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SHAUNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003160",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2024008694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNETTE",
            "last_name": "EUBANK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan S Petrover, D.D.S.
• Anthony A Petruzzello, PH.D.
• Brittney Michele Phelan
• Phillips Haven Alf LLC
• Nikia Lashonda Phillips
• Kara Phipps
• Phoenix Rising Counseling Solutions, PLLC
• Phoenix Wellness & Counseling LLC
• Physical Therapy Institute and Aquatic Rehab, Inc
• Physician'S Choice Healthcare Services, Inc

• Psychiatric/Mental Health Nurse Practitioner in Wellington, FL
• Providers in Wellington, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.