Mercedes Jaclyn Phillips, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN9534454 Issued in FL

Practice address

18002 Richmond Place Drive
Tampa, FL 33647-1725

Phone

(813) 442-3414

NPI assigned

May 21, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1811562960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 RICHMOND PLACE DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471725",
            "telephone_number": "813-442-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 RICHMOND PLACE DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471725",
            "telephone_number": "813-442-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MERCEDES",
        "middle_name": "JACLYN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9534454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly W. Phillips, ARNP
• Kristin Phillips, A.R.N.P.
• Kristin M. Phillips, PHD
• Lana Phillips
• Lisa R Phillips, ARNP
• Sean A Phillips, MD
• Susan K Phillips, LMHC
• Susan Patricia Phillips, PH.D.
• Whitney Phillips, MS CCC-SLP
• Diana Alexandra Phillpotts, LCSW

• Critical Care Medicine Registered Nurse in Tampa, FL
• Providers in Tampa, FL by specialty
• Critical Care Medicine Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.