Active NPI
Julie Mbithe Phillips, N.P.
- Family Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1851739973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 220403
- Practice address
- 1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628 - Phone
- (415) 658-6791
- Fax
- (415) 252-7176
- NPI assigned
- Jun 11, 2013
- Last updated
- Apr 18, 2025
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209010890 | IL | |
| Family Nurse Practitioner | 363LF0000X | RN10007686 | MA | |
| Hospitalist Physician | 208M00000X | 209010890 | IL | |
| Family Nurse Practitioner | 363LF0000X | AP60917249 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP137608 | TX | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0001122- | CO | |
| Family Nurse Practitioner | 363LF0000X | 20409 | CA | |
| Family Nurse Practitioner | 363LF0000X | 220403 | AZ | Primary |
Addresses
Primary practice location
1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
5145 N California Ave
M276
Chicago, IL 60625
Phone (773) 878-8200 ext. 6061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250225002383 | AZ | Order and Referring Only - Nurse Practitioner | 2860620770 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20409 | CA | MD | Mental Health Counselor |
| C-APN.0001122- | CO | MD | Family Nurse Practitioner |
| RN10007686 | MA | MD | Family Nurse Practitioner |
| AP137608 | TX | MD | Family Nurse Practitioner |
| AP60917249 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1851739973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791",
"fax_number": "415-252-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR FL 19",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113628",
"telephone_number": "415-658-6791",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "5145 N California Ave",
"address_2": "M276",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60625",
"country_code": "US",
"telephone_number": "773-878-8200 x6061",
"fax_number": "773-293-4171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JULIE",
"middle_name": "MBITHE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209010890",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN10007686",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "209010890",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60917249",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137608",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0001122-",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20409",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "220403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.