Nicole J. Phillips, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5749 Issued in CT

Practice address

2091 Fairfield Ave Ste 1
Bridgeport, CT 06605-2246

Phone

(203) 572-7491

NPI assigned

Jun 13, 2014

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 CT

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• NP Primary Care Practice, PLLC

  • Primary Care Clinic/Center
  • Bridgeport, CT
  • NPI 1205409463
  NPD Authorized official
• WCT Behavioral Health & Medication Management PLLC

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1285391474
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1649684036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 FAIRFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052246",
            "telephone_number": "475-575-2273",
            "fax_number": "475-575-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 FAIRFIELD AVE STE 1",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052246",
            "telephone_number": "203-572-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NICOLE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorina Pettway
• Phenomenal Woman Counseling LLC
• Philip a Micalizzi, Jr. M.D. PC
• Jisha Philip, M.D
• Jyothy Philipose, APRN
• Taylor Phillips, PA-C
• Phoenix Recovery, LLC
• Phenyo Victor Phuu, M.D.
• Physical Medicine & Rehab Services LLC
• Victoria Piacquadio, CRNA

• Family Nurse Practitioner in Bridgeport, CT
• Providers in Bridgeport, 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 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.