Diamond Phillips

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

345612-01 Issued in NY

Practice address

1918 Cornelia St
Ridgewood, NY 11385-4434

Phone

(678) 592-6169

NPI assigned

Dec 5, 2022

Last updated

Dec 5, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1700596301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 CORNELIA ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854434",
            "telephone_number": "678-592-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 CORNELIA ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854434",
            "telephone_number": "678-592-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DIAMOND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "345612-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindita Perolli
• Stephen Perrone, M.D.
• Edward C Peters
• Armelle Resia Petit
• Taras Petsyukh, RN
• Jesus Manuel Pichardo, M.D.
• Emily Pier
• Maria Pietruszka, LMHC, CASAC-T
• Veronica Maria Pincay
• David Danielovich Pinkhasov, PHARM.D

• Licensed Practical Nurse in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.