Angela M McPhillips, DNP, RN

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

RN9641241 Issued in FL

Practice address

13293 Darnell Ave
Port Charlotte, FL 33981-6125

Phone

(737) 844-3346

NPI assigned

Sep 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Nurse Pro LLC

  • Early Intervention Provider Agency
  • Port Charlotte, FL
  • NPI 1366222473
  NPD Authorized official

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1508645615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13293 DARNELL AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339816125",
            "telephone_number": "737-844-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13293 DARNELL AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339816125",
            "telephone_number": "737-844-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHILLIPS",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "DNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9641241",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "RN9641241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline McKeegan
• William Thomas McKenzie Jr., DMD, MS
• Erin Hays McKeown, PMHNP-BC
• Duane McKown, RPH
• Christopher McLain, APRN
• MD on the Go PCP LLC
• MDK Ventures L.L.C (Medical Department Store)
• Me Unlimited, Inc. (Rosebuds Mastectomy Salon)
• Med-Zone Inc
• Medic Infusion Inc

• Developmental Therapist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.