Active NPI
Lynn Carol Phillippe, NP
- Family Nurse Practitioner
- Mount Carmel, IL
National Provider Identifier
1477535490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209001141
- Practice address
- 1001 N Market St
Mount Carmel, IL 62863-1945 - Phone
- (618) 263-4970
- Fax
- (618) 263-4837
- NPI assigned
- Nov 16, 2005
- 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 | 209001141 | IL | Primary |
Addresses
Primary practice location
1001 N Market St
Mount Carmel, IL 62863-1945
Mailing address
11563 E 1150TH Ave
Robinson, IL 62454-4352
Phone (618) 544-5405
Other names 1
- Miss Lynn Carol Wirsner
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209001141 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477535490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11563 E 1150TH AVE",
"city": "ROBINSON",
"state": "IL",
"postal_code": "624544352",
"telephone_number": "618-544-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N MARKET ST",
"city": "MOUNT CARMEL",
"state": "IL",
"postal_code": "628631945",
"telephone_number": "618-263-4970",
"fax_number": "618-263-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPPE",
"first_name": "LYNN",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209001141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "WIRSNER",
"middle_name": "CAROL",
"prefix": "MISS",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Carmel, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.