Kelly Susan Phillips, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

MP14450167 Issued in DE

Practice address

424 Mulberry St
Suite 1
Milton, DE 19968-1628

Phone

(302) 684-0561

Fax

(302) 684-3563

NPI assigned

Sep 25, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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.

• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Wilmington, DE
  • NPI 1366594699
  NPD (past)
• The Nemours Foundation

  • Children's Hospital
  • Wilmington, DE
  • NPI 1467505073
  NPD (past)
• The Pediatric & Adolescent Center

  • Specialist
  • Lewes, DE
  • NPI 1548344849
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1669572848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BRIGHTON RD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199713526",
            "telephone_number": "302-226-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MULBERRY ST",
            "address_2": "SUITE 1",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199681628",
            "telephone_number": "302-684-0561",
            "fax_number": "302-684-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KELLY",
        "middle_name": "SUSAN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "DE",
            "license": "MP14450167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Palkon-Krytzer, RN BSN
• Punit A. Pandya, D.O.
• Tamanna Patel, PHARMD
• Jonathan L Patterson, M.D.
• Sharlene Sharp Penuel, RPH
• Noah Piper Sr.
• Gracyn Pires
• Prescribing in Mind
• Progressive Health Services (United Pharmacy)
• Paul Kendall Pulchny, D.O.

• Pediatric Nurse Practitioner in Milton, DE
• Providers in Milton, DE by specialty
• Pediatric Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.