Deborah R Phillips, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27050659A Issued in IN

Practice address

1202 Melody LN Apt 216
Jeffersonville, IN 47130-7107

Phone

(812) 697-5889

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1548955131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MELODY LN APT 216",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307107",
            "telephone_number": "812-697-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MELODY LN APT 216",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307107",
            "telephone_number": "812-697-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KY",
            "license": "27050659A",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "20750659A",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27050659A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Petersen, APRN
• Matthew David Peterson, M.D.
• Kelsey Petty
• Jamie Phelps
• Philippe Bautista DMD LLC (PBJ Kids Dentistry)
• Sara Beth Phillips
• Gregory Ray Phipps
• Physician's Care Group
• Physician's Primary Care PLLC
• Physicians Geriatric Health Services Inc

• Licensed Practical Nurse in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.