Lilliot Phillips, AG-ACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN1617712 Issued in FL

Practice address

54123 Lisa Dr
Callahan, FL 32011-5989

Phone

(904) 955-3062

NPI assigned

Aug 13, 2018

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Male

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259
• HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intensive Care Consortium Inc

  • Specialist
  • Aventura, FL
  • NPI 1629019062

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Intensivist Medicine Services of FL, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Tampa, FL
  • NPI 1235836388
  Medicare reassignment NPD
• Pulmonary Physicians of South Florida LLC

  • Pulmonary Disease Physician
  • Miami, FL
  • NPI 1902892060
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galencare, Inc.

  dba HCA Florida Brandon Hospital

  • General Acute Care Hospital
  • Brandon, FL
  • NPI 1669427258
  Care Compare affiliation
• Sun City Hospital Inc

  dba HCA Florida South Shore Hospital

  • General Acute Care Hospital
  • Sun City Center, FL
  • NPI 1164476867
  Care Compare affiliation

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1669951455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54123 LISA DR",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320115989",
            "telephone_number": "904-955-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54123 LISA DR",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320115989",
            "telephone_number": "904-955-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LILLIOT",
        "name_prefix": "Mr.",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN1617712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bo K Nguyen, PHARMD
• Don Anh Nguyen
• North Florida Senior Living LLC
• Nikata Arvind Patel, FNP
• Chester Howard Penn, D.P.M.
• Joanna Picard, DPT, PT
• Barbara Ann Pierce, LCMHC
• Jordan Powell, PTA
• Casey J Price, BS
• Kiersten Lea Prince, D.O.

• Nurse Practitioner in Callahan, FL
• Providers in Callahan, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.