Shine Philip, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13204 Issued in CT

Practice address

75 Holly Hill LN Ste 201
Greenwich, CT 06830-2912

Phone

(203) 276-2516

Fax

(203) 276-2515

NPI assigned

Jun 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stamford Hospital Hospital, Stamford, CT, CCN 070006
• Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sphilip25106@stamfordhealth.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

• Stamford Health Medical Group Inc

  • General Practice Physician
  • Stamford, CT
  • NPI 1154633980
  Medicare reassignment Care Compare group NPD
• Stamford Hospital

  • General Acute Care Hospital
  • Stamford, CT
  • NPI 1164668471
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greenwich Hospital

  • General Acute Care Hospital
  • Greenwich, CT
  • NPI 1609846088
  Care Compare affiliation
• Stamford Hospital

  • General Acute Care Hospital
  • Stamford, CT
  • NPI 1356331425
  Care Compare affiliation

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1538519954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN STE 201",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068302912",
            "telephone_number": "203-276-2516",
            "fax_number": "203-276-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN STE 201",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068302912",
            "telephone_number": "203-276-2516",
            "fax_number": "203-276-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "372 Danbury Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068972548",
            "country_code": "US",
            "telephone_number": "203-276-2516",
            "fax_number": "203-276-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "SHINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Petro, LPC
• Athanassios Petrotos, M.D.
• Joanne Peyser
• Donna Phanumas, M.D.
• Kay E Phelan, CRNA
• Chantell Anjelica Phillips, NP-C
• Marta S Phillips, LCSW
• Carin Marie Piacente, D.C.
• John Anthony Pica, D.C.
• Chris Piccaro, DDS

• Family Nurse Practitioner in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.