Active NPI
Darlene P Philippe
- Home Health Registered Nurse
- Fleming Island, FL
National Provider Identifier
1700547171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN9382922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN9382922 | FL | Primary |
| Registered Nurse | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9382922 | FL | MD | Home 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.