Active NPI
Elaine Phillips, ANP
- Nurse Practitioner
- Port Townsend, WA
National Provider Identifier
1780856229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 483
- Practice address
- 1441 F St
Port Townsend, WA 98368-5143 - Phone
- (360) 385-0800
- Fax
- (360) 379-3710
- NPI assigned
- Mar 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP30005335 | WA | |
| Nurse Practitioner | 363L00000X | 483 | AK | Primary |
Addresses
Primary practice location
1441 F St
Port Townsend, WA 98368-5143
Mailing address
PO Box 1717
Port Townsend, WA 98368-0160
Phone (360) 385-0800
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 |
|---|---|---|---|
| AP30005335 | WA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1780856229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1717",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983680160",
"telephone_number": "360-385-0800",
"fax_number": "360-379-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 F ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983685143",
"telephone_number": "360-385-0800",
"fax_number": "360-379-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ELAINE",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30005335",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AK",
"license": "483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.