Lisa Phillips, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1108761 Issued in TX

Practice address

493 FM 1652
Grand Saline, TX 75140-4723

Phone

(972) 897-7202

NPI assigned

Jun 14, 2023

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

State licenses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1851075394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 FM 1652",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751404723",
            "telephone_number": "972-897-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 FM 1652",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751404723",
            "telephone_number": "972-897-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1108761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edward Monty, D.C.
• N Grand Saline Operations LLC
• Glynda Don Oglesby, RN
• Gwenda Ordin
• Charles J Perritt, LPC-A, LCDCI
• Maryann Kimball Phillips, COTA
• Sherri Phillips
• Pyramid Healthcare Corp (Azalea Trails)
• Megan Isabelle Richards, PHARM. D
• Anthoni R Romack, M.D.

• Family Nurse Practitioner in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.