Individual provider Active NPI

Heather Elaine Phillips

  • Family Nurse Practitioner
  • Liberty Township, OH
National Provider Identifier
1902532625
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032316 Issued in OH
Practice address
7335 Yankee Rd Ste 201
Liberty Township, OH 45044-1253
Phone
(513) 564-6818
Fax
(513) 564-6819
NPI assigned
Jul 26, 2022
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0032316 OH Primary

Addresses

Primary practice location

7335 Yankee Rd Ste 201
Liberty Township, OH 45044-1253

Mailing address

7335 Yankee Rd Ste 201
Liberty Township, OH 45044-1253
Phone (513) 564-6818

Other identifiers 1

IdentifierTypeStateIssuer
0018534MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928003006 OH Practitioner - Nurse Practitioner 2668858689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

7335 Yankee Rd
Suite 202
Liberty Township, OH 45044-1253
Phone (513) 564-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family CurrentSince Aug 1, 2023 Accepting new patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Oct 5, 2022 Accepting new patients

Locations

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

7335 Yankee Rd
Ste 201
Liberty Township, OH 45044
Phone (513) 206-1460

7335 Yankee Rd
Ste 202
Liberty Township, OH 45044
Phone (513) 564-6800

8000 Princeton Glendale Rd
West Chester, OH 45069
Phone (513) 682-8040

Interoperability endpoints

  • Direct secure messaging: heather.phillips@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1902532625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 YANKEE RD STE 201",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450441253",
            "telephone_number": "513-564-6818",
            "fax_number": "513-564-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 YANKEE RD STE 201",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450441253",
            "telephone_number": "513-564-6818",
            "fax_number": "513-564-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HEATHER",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018534",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.