Active NPI
Nancy F Phillips, NP
- Nurse Practitioner
- Oak Bluffs, MA
National Provider Identifier
1780640771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 210547
- Practice address
- One Hospital Road
Oak Bluffs, MA 02557-1477 - Phone
- (508) 693-3164
- Fax
- (508) 696-5238
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 210547 | MA | Primary |
Addresses
Primary practice location
One Hospital Road
Oak Bluffs, MA 02557-1477
Mailing address
1 Hospital Road
Oak Bluffs, MA 02557-1477
Phone (508) 693-3164
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210547 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1780640771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL ROAD",
"city": "OAK BLUFFS",
"state": "MA",
"postal_code": "025571477",
"telephone_number": "508-693-3164",
"fax_number": "508-696-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE HOSPITAL ROAD",
"city": "OAK BLUFFS",
"state": "MA",
"postal_code": "025571477",
"telephone_number": "508-693-3164",
"fax_number": "508-696-5238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "NANCY",
"middle_name": "F",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "210547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Bluffs, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.