Kimberly Clark Phillips, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN365963 Issued in OH

Practice address

9464 Unionville Rd
Plain City, OH 43064-9734

Phone

(614) 332-0765

Fax

(614) 873-2811

NPI assigned

Dec 11, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1699004135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9464 UNIONVILLE RD",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430649734",
            "telephone_number": "614-332-0765",
            "fax_number": "614-873-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9464 UNIONVILLE RD",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430649734",
            "telephone_number": "614-332-0765",
            "fax_number": "614-873-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KIMBERLY",
        "middle_name": "CLARK",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN365963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "RN365963",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Parrill, LMSW
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• Linda A. Peters, MSW, LISW
• Megan Petrus
• Jodi Lynne Phinney
• Roger Alvin Pickens, D.D.S.
• Skylar Pinneda
• Plain City Chiropractic Office
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• Registered Nurse in Plain City, OH
• Providers in Plain City, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.