Susan K Phillips, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71001696 Issued in IN

Practice address

4001 Wabash Ave
Terre Haute, IN 47803-1678

Phone

(812) 238-7788

Fax

(812) 238-4508

NPI assigned

Nov 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Midwest Medical Management, P.C.

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1417996430
  NPD
• Union Hospital Inc.

  • Rural Health Clinic/Center
  • Clay City, IN
  • NPI 1235120882
  NPD
• Union Hospital, Inc.

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1013965573

  Nurse Practitioner

  NPD
• Union Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Clinton, IN
  • NPI 1487652319
  NPD

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1659362085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031678",
            "telephone_number": "812-238-7788",
            "fax_number": "812-238-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031678",
            "telephone_number": "812-238-7788",
            "fax_number": "812-238-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001696",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IN",
            "license": "28112100A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200520070",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00431348",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Dara Pharo, COTA
• Chavez Phelps, PH.D.
• Philco Group LLC
• Joanna Phillips
• Karen Elaine Phillips, FNP-C
• Lylia Piatt, LCSW , MSW
• Krystine Pickett
• Lance A Pickrell, M.D.
• Chelsea Michelle Pidgeon, PA-S
• Amelia Jene Britt Pierce

• Nurse Practitioner in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.