Kristin Phillips, A.R.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP1679932 Issued in FL

Practice address

3003 W Martin Luther King Blvd
Mab 3Rd Floor
Tampa, FL 33607

Phone

(813) 870-4438

Fax

(813) 870-4153

NPI assigned

Aug 11, 2006

Last updated

Jul 9, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1568473866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 VILLA DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945564",
            "telephone_number": "813-870-4438",
            "fax_number": "813-870-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W MARTIN LUTHER KING BLVD",
            "address_2": "MAB 3RD FLOOR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-870-4438",
            "fax_number": "813-870-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KRISTIN",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP1679932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE #",
            "identifier": "ARNP1679932",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack D Phillips
• Jacqueline Elise Marie Phillips, LMHC
• Jonathan Phillips, MS, ARNP, CRNA
• Kasie Lynn Phillips, FNP-BC
• Kelly W. Phillips, ARNP
• Kristin M. Phillips, PHD
• Lana Phillips
• Lisa R Phillips, ARNP
• Mercedes Jaclyn Phillips, RN
• Sean A Phillips, MD

• Pediatric Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.