Karen Phillip

Primary specialty

Nephrology Registered NurseTaxonomy code 163WN0300X

License

RN17802 Issued in GA

Practice address

701 Aroura Dr
Woodstock, GA 30188-5180

Phone

(770) 733-3663

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1770191983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 AROURA DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885180",
            "telephone_number": "770-733-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 AROURA DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885180",
            "telephone_number": "770-733-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Nephrology",
            "state": "GA",
            "license": "RN17802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Andrews Perry
• Kaylee A Petro, MS, CCC-SLP
• David M Peyroux, D.C.
• Philemon Enterprises LLC
• Tiji Mathew Philip, M.D.
• Physician Pain Care,P.C.
• Physician'S Express Care at Towne Lake LLC
• Physiotherapy Associates Inc
• Anna Leigh Pickett, OTL
• Alec Pienta, MS, RD

• All providers in Woodstock, GA
• Nephrology Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.