Active NPI
Allison Gayle Phillips, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Campbellsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3002239
- Practice address
- 2038 Smith Ridge Rd
Campbellsville, KY 42718-7601 - Phone
- (270) 283-3456
- Fax
- (877) 463-0363
- NPI assigned
- Dec 28, 2005
- Last updated
- Jul 14, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3002239 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3002239 | KY | |
| Women's Health Nurse Practitioner | 363LW0102X | 3002239 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3002239 | KY | Primary |
Addresses
Primary practice location
2038 Smith Ridge Rd
Campbellsville, KY 42718-7601
Mailing address
2038 Smith Ridge Rd
Campbellsville, KY 42718-7601
Phone (270) 283-3456
Other practice location 1
640 Watertower Byp
Campbellsville, KY 42718-8657
Phone (502) 262-2887
Other practice location 2
407 East First St
Campbellsville, KY 42718
Phone (270) 465-4191
Other names 1
- Allison Gayle Mardis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Trail District Health Department | Past | Accepting new patients | |
| Lake Cumberland District Health Department | Past | Accepting new patients | |
| Lake Cumberland District Health Department | Past | Accepting new patients | |
| Lake Cumberland District Health Department | Past | Accepting new patients | |
| Lincoln Trail District Health Department | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Adair County Health Department
- Public Health or Welfare Agency
- Columbia, KY
- NPI 1528102472
-
- Public Health Dentistry
- Somerset, KY
- NPI 1528203825
-
dba Cumberland County Health Department
- Public Health or Welfare Agency
- Burkesville, KY
- NPI 1629112461
-
dba Marion County Health Center
- Public Health or Welfare Agency
- Lebanon, KY
- NPI 1255313862
-
dba Meade County Health Center
- Public Health or Welfare Agency
- Brandenburg, KY
- NPI 1710969316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1760469134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2038 SMITH RIDGE RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427187601",
"telephone_number": "270-283-3456",
"fax_number": "877-463-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2038 SMITH RIDGE RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427187601",
"telephone_number": "270-283-3456",
"fax_number": "877-463-0363"
}
],
"practiceLocations": [
{
"address_1": "640 Watertower Byp",
"address_purpose": "LOCATION",
"city": "Campbellsville",
"state": "KY",
"postal_code": "427188657",
"country_code": "US",
"telephone_number": "502-262-2887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "407 East First St",
"address_purpose": "LOCATION",
"city": "Campbellsville",
"state": "KY",
"postal_code": "42718",
"country_code": "US",
"telephone_number": "270-465-4191",
"fax_number": "270-789-3873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ALLISON",
"middle_name": "GAYLE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3002239",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3002239",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "3002239",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3002239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "MARDIS",
"middle_name": "GAYLE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.