Stacey Lynn Phillips, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13658 Issued in TN

Practice address

25 Woodbridge Rd
Suite a
Somerville, TN 38068-1242

Phone

(901) 465-6353

Fax

(901) 465-5948

NPI assigned

Sep 15, 2008

Last updated

Oct 8, 2015By the provider in NPPES

Sex

Female

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 TN

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

Memphis Hospital Medical College, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Methodist Healthcare Community Care AssociatesGroup PAC ID 0941113757, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sphillips33393@mlh.direct-ci.com

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.

• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Cordova, TN
  • NPI 1194839241
  Medicare reassignment Care Compare group NPD
• Methodist Healthcare Community Care Associates

  dba MHCCA Health Screening

  • Corporate Health Clinic/Center
  • Memphis, TN
  • NPI 1699941195
  NPD
• Methodist Heatlhcare Community Care Associates

  • Urgent Care Clinic/Center
  • Memphis, TN
  • NPI 1124277967
  NPD
• Adult Primary Care of Memphis PC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1376738906
  NPD (past)
• Wilder Clinic

  • Family Medicine Physician
  • Sunerville, TN
  • NPI 1588675276
  NPD (past)

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1710136718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODBRIDGE RD",
            "address_2": "SUITE A",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380681242",
            "telephone_number": "901-465-6353",
            "fax_number": "901-465-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODBRIDGE RD",
            "address_2": "SUITE A",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380681242",
            "telephone_number": "901-465-6353",
            "fax_number": "901-465-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristena Terry Partridge, MSW, LCSW
• Paul Scates M.D. Family Medicine
• Lydia Perkins, M.A., CCC-SLP
• Jessica Lynn Perry, RN
• Anna Petrie, PA-C
• Phyllis Dickinson-Branch (Somerville Family Dentistry)
• Madison Pierski, PA
• Pamela C Pierski, FNP
• Professional Care Services of West TN Inc (JB Summers Counseling Center)
• Professional Care Services of West TN, Inc.

• Family Nurse Practitioner in Somerville, TN
• Providers in Somerville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.