Karen N Phillipps MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME88539 Issued in FL

Legal business name

KAREN N PHILLIPPS MD PA

Practice address

851 Chalet Suzanne Road
Lake Wales, FL 33859

Phone

(863) 679-9916

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Karen Nicole PhillippsNPI 1487673901

Title

President/Ceo

Phone

(863) 679-9916

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Phillipps

  • Family Medicine Physician
  • Lake Wales, FL
  • NPI 1487673901
  Medicare reassignment Authorized official
• Whitney Girouard

  • Family Nurse Practitioner
  • Lake Wales, FL
  • NPI 1588421127
  NPD
• Roseline Blanc, APRN-C

  • Family Nurse Practitioner
  • Haines City, FL
  • NPI 1013431873
  NPD (past)
• Kristy Laine O'Neill, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
  • NPI 1841773140
  NPD (past)
• Lisa Marie Peto, APRN FNP-C

  • Family Nurse Practitioner
  • Lake Wales, FL
  • NPI 1720485170
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1619902186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 CHALET SUZANNE RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597759",
            "telephone_number": "863-679-9916",
            "fax_number": "863-679-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 CHALET SUZANNE ROAD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "33859",
            "telephone_number": "863-679-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN N PHILLIPPS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPPS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "863-679-9916",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Hoffman LLC
• Jwlex, LLC
• Peter G Kalogridis II, MPT
• Kanumuri Medical Group PA
• Nageswararao V Kanumuri, MD
• Kencare Clinic
• Kevin T Barlow, PA. Dba: Winter Haven Audiology and Ridge Audiology.
• Morgan Brianna Kidwell, PA
• Jonathan Bradford King, DMD
• Felicia Knighton, HHA

• Family Medicine Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.