Individual provider Active NPI

Nikia Lashonda Phillips

  • Family Medicine Physician
  • Wellington, FL
National Provider Identifier
1740510312
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ARNP9191977 Issued in FL
Practice address
1397 Medical Park Blvd Ste 140
Wellington, FL 33414-3187
Phone
(561) 508-3989
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP9191977 FL
Family Medicine Physician 207Q00000X ARNP9191977 FL Primary

Addresses

Primary practice location

1397 Medical Park Blvd Ste 140
Wellington, FL 33414-3187

Mailing address

1397 Medical Park Blvd Ste 140
Wellington, FL 33414-3187
Phone (561) 508-3989

Other identifiers 1

IdentifierTypeStateIssuer
002001200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20140905002306 FL Practitioner - Nurse Practitioner 0840418703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1397 Medical Park Blvd
Suite 140
Wellington, FL 33414-3187
Phone (561) 508-3989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9191977FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Nikia L. Phillips, LLC Advanced Practice Midwife CurrentSince May 29, 2018 Accepting new patients
Inner Balance Family Medicine, LLC Family Medicine Past Accepting new patients
Inner Balance Family Medicine, LLC Family Medicine Past Accepting new patients

Locations

3319 S State Road 7
Ste 106
Wellington, FL 33449
Phone (561) 323-7979

1397 Medical Park Blvd
Ste 140
Wellington, FL 33414
Phone (561) 472-5810

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1740510312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD STE 140",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143187",
            "telephone_number": "561-508-3989",
            "fax_number": "561-631-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD STE 140",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143187",
            "telephone_number": "561-508-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NIKIA",
        "middle_name": "LASHONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9191977",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP9191977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002001200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.