Doris Phillips, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.513898 Issued in OH

Practice address

2267 Village Mall Dr Unit 2
Ontario, OH 44906-1369

Phone

(419) 951-2020

Fax

(419) 951-2020

NPI assigned

Aug 7, 2024

Last updated

Aug 7, 2024By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope419, LLC

  dba Hope419

  • Psychiatry Physician
  • Ontario, OH
  • NPI 1184375628
  NPD
• Hope419, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Ontario, OH
  • NPI 1750990438
  NPD

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1760212328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 TOWNSHIP ROAD 34",
            "city": "KILLBUCK",
            "state": "OH",
            "postal_code": "446379764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 VILLAGE MALL DR UNIT 2",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061369",
            "telephone_number": "419-951-2020",
            "fax_number": "419-951-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DORIS",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.513898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Peterson
• Saundra Peterson
• Michelle Suzanne Petty, LPN
• PF Development 15 LLC (CenterWell Home Health II)
• Cynthia K Phelps, LPN
• Pinnacle Chiropractic Care, LLC
• Pinnacle Physical Medicine
• Kiara Pizarro Anglada
• Jennifer Plante, MACCC/SLP
• William J Polinski, DO PHD FACC

• Registered Nurse in Ontario, OH
• Providers in Ontario, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.