Lakisha Phillips

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHCP-1659 Issued in SC

Practice address

306 Adams Mill Rd
Simpsonville, SC 29681-4731

Phone

(864) 325-7185

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1649900267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ADAMS MILL RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814731",
            "telephone_number": "864-325-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ADAMS MILL RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814731",
            "telephone_number": "864-325-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LAKISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": "IHCP-1659",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-1659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Petralia-Buie, BCBA
• Joyce M Petty, RN
• Emily Elizabeth Phillips, MD
• Jessica Wilkerson Phillips, FNP
• Judith R Phillips
• Tabitha Berry Phillips, MA, CCC-SLP
• Kathryn Alicia Pierce
• Taryn Hopkins Piffard, PT
• Lisbeth Pittman, RBT
• John Pitzulo, D.C

• In Home Supportive Care Agency in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.