Active NPI
Nikia Lashonda Phillips
- Family Medicine Physician
- Wellington, FL
National Provider Identifier
1740510312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ARNP9191977
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002001200 | Medicaid | FL |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9191977 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nikia L. Phillips, LLC | Advanced Practice Midwife | Current | 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.
-
- Advanced Practice Midwife
- Wellington, FL
- NPI 1821539289
-
- Family Medicine Physician
- Wellington, FL
- NPI 1801457890
-
- Family Medicine Physician
- Port St. Lucie, FL
- NPI 1851729693
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.