Nissy Philip, APRN-CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0088101 Issued in OK

Practice address

3366 NW Expwy
Suit 550
Oklahoma City, OK 73112-4462

Phone

(405) 942-5442

Fax

(405) 942-6448

NPI assigned

Sep 21, 2015

Last updated

Sep 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kidney Specialists of Central Oklahoma, PCGroup PAC ID 7618904988, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nphillip16077@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidney Specialists of Central Oklahoma, PC

  • Nephrology Physician
  • Oklahoma City, OK
  • NPI 1710918420
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1477922441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPWY",
            "address_2": "SUIT 550",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPWY",
            "address_2": "SUIT 550",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462",
            "telephone_number": "405-942-5442",
            "fax_number": "405-942-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "NISSY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "0088101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP LICENCE NUMBER 0088101",
            "identifier": "0088101",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip C. Hyde, PH.D., P.C.
• Philip G. Maguire D.D.S. PLLC
• Benitta John Philip, DNP
• Christina Philip
• Neena Susan Philip, MD
• Sherine Philip, APRN-CNP
• Alvin J Philipose, DC
• Philomina Philipose, FNP
• Phillip B Brown MD PLLC
• Phillip Doerner Jr MD PC

• Adult Health Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.