Paula Beryl Phillips, A.R.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP2609432 Issued in FL

Practice address

6910 Old Wolf Bay Rd
Kids Care Pediatrics, PA
Palatka, FL 32177-6800

Phone

(386) 328-7337

NPI assigned

Oct 12, 2005

Last updated

Jan 27, 2011By 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

Other identifiers 1

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1780672741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 OLD WOLF BAY RD",
            "address_2": "KIDS CARE PEDIATRICS, PA",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776800",
            "telephone_number": "386-328-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 OLD WOLF BAY RD",
            "address_2": "KIDS CARE PEDIATRICS, PA",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776800",
            "telephone_number": "386-328-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "PAULA",
        "middle_name": "BERYL",
        "name_prefix": "Ms.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP2609432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301680300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Del Carmen Perez-Garcia, MD
• Teresa A Perez, LMHC CAP
• PF Dent, PA
• Susan M Pham, PHARM.D.
• Carroll Niles Phillips II, DO
• Roshonda Vedasha Phillips, RN
• Physimed, P.a.
• Christopher Pillow
• Steven Richard Pinder, DPT, CSCS
• Sherwood Wilson Pine II

• Pediatric Nurse Practitioner in Palatka, FL
• Providers in Palatka, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.