Individual provider Active NPI

Darlene P Philippe

  • Home Health Registered Nurse
  • Fleming Island, FL
National Provider Identifier
1700547171
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN9382922 Issued in FL
Practice address
1500 Calming Water Dr Unit 4102
Fleming Island, FL 32003-3430
Phone
(904) 577-2815
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN9382922 FL Primary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN9382922 FL

Addresses

Primary practice location

1500 Calming Water Dr Unit 4102
Fleming Island, FL 32003-3430

Mailing address

1905 White Dogwood LN
Fleming Island, FL 32003-3369
Phone (904) 577-2815

Other practice location 1

1905 White Dogwood Ln
Fleming Island, FL 32003-3369
Phone (904) 577-2815

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Desktop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9382922FLMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1700547171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 WHITE DOGWOOD LN",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033369",
            "telephone_number": "904-577-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CALMING WATER DR UNIT 4102",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033430",
            "telephone_number": "904-577-2815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 White Dogwood Ln",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320033369",
            "country_code": "US",
            "telephone_number": "904-577-2815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIPPE",
        "first_name": "DARLENE",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9382922",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9382922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "1905 White Dogwood Ln",
            "city": "Fleming Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320033369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

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