Allison Gayle Phillips, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Campbellsville, KY
NPI 1760469134 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1760469134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3002239 (KY)
- Practice address
- 2038 Smith Ridge Rd
Campbellsville, KY 42718-7601 - Phone
- (270) 283-3456
- Fax
- (877) 463-0363
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | 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 | |
| Lake Cumberland District Health Department | Past | Accepting new patients | |
| Lincoln Trail District Health Department | Past | Accepting new patients |
Specialties & licenses
| 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 | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78002102 | Medicaid | KY |
Other names
- Allison Gayle Mardis
Other providers in Campbellsville, KY
- Alexis Pearish
- Bethany Perkins
- Personal Geri-Care, LLC
- Amy Renee Peterson
- Pharmacy Services of Campbellsville
- Phoenix Way, LLC
- Olivia R Pitcock
- Rebecca S Pittman
- Plus One Counseling
- Jennifer Pogue
All providers in Campbellsville, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.