Active NPI
Susan L Phillips, PHD CCCA
- Audiologist
- Greensboro, NC
National Provider Identifier
1780682930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4916
- Practice address
- 524 Highland Avenue
Greensboro, NC 27402-6170 - Phone
- (336) 334-5184
- Fax
- (336) 334-4475
- NPI assigned
- Jul 12, 2005
- Reactivated
- Aug 20, 2007
- Last updated
- Aug 20, 2007
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4916 | NC | Primary |
Addresses
Primary practice location
524 Highland Avenue
Greensboro, NC 27402-6170
Mailing address
PO Box 26170 Uncg
300 Ferguson Building
Greensboro, NC 27402-6170
Phone (336) 334-5184
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4916 | Other | NC | AUDIOLOGY LICENSE |
| 953 | Other | NC | HEARING AID LICENSE |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4916 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uncg Nicholas a Vacc Counseling and Consulting Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Greensboro, NC
- NPI 1992254114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1780682930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26170 UNCG",
"address_2": "300 FERGUSON BUILDING",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274026170",
"telephone_number": "336-334-5184",
"fax_number": "336-334-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 HIGHLAND AVENUE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274026170",
"telephone_number": "336-334-5184",
"fax_number": "336-334-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SUSAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2007-08-20",
"deactivation_date": "2007-07-17",
"reactivation_date": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "4916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY LICENSE",
"identifier": "4916",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID LICENSE",
"identifier": "953",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Mark Lucas Phillips, MD
- Megan Dillard Phillips, RN
- Michelle Caffee Phillips, LCSW
- Minta Elizabeth Phillips, MD
- Sandra Phillips
- Valerie P Phillips
- Gregory Steven Phipps, LPCA
- Leslie Phipps, SLP
- Phobia Counseling Center of the Triad Inc (Phobia Treatment Center of the Triad Inc Kenneth A Frazier)
- Phoenix Counseling and Recovery Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.