Martha Phillips

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP08039 Issued in LA

Practice address

109 Elm St
Delhi, LA 71232-2838

Phone

(318) 878-6650

Fax

(318) 878-6657

NPI assigned

Jan 20, 2015

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 LA

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Delta Human Services AuthorityGroup PAC ID 2961726005, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Delta Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1033551833
  Medicare reassignment Care Compare group NPD
• People United of Louisiana, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1306217062
  Medicare reassignment NPD
• St Francis Medical Center, Inc

  • Diagnostic Radiology Physician
  • Monroe, LA
  • NPI 1437149168
  Medicare reassignment NPD
• Northeast Delta Human Services Authority

  • Primary Care Clinic/Center
  • Ruston, LA
  • NPI 1356095236
  NPD
• Northeast Delta Human Services Authority

  • Primary Care Clinic/Center
  • Monroe, LA
  • NPI 1790158681
  NPD
• St. Francis Medical Center, Inc.

  • Primary Care Clinic/Center
  • Monroe, LA
  • NPI 1437552106
  NPD
• Body & Soul Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bastrop, LA
  • NPI 1285193185
  NPD (past)

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1730578303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ELM ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322838",
            "telephone_number": "318-878-6650",
            "fax_number": "318-878-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ELM ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322838",
            "telephone_number": "318-878-6650",
            "fax_number": "318-878-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson Patterson
• Tiffany Clare Perry
• Pharmacy Care, LLC
• Philip'S Family Pharmacy
• Robin Philley
• Karely Poche
• Shenequa Powell
• Monohn Prudhomme
• Jacqueline Rasco, MHP
• Patricia Ratliff

• Psychiatric/Mental Health Nurse Practitioner in Delhi, LA
• Providers in Delhi, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.