Active NPI
Aji S Philip, BS, RN, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Decatur, TX
National Provider Identifier
1932701844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1050559
- Practice address
- 2000 S FM 51
Decatur, TX 76234-3702 - Phone
- (940) 626-1848
- Fax
- (940) 626-1849
- NPI assigned
- Nov 15, 2020
- Last updated
- Oct 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1050559 | TX | Primary |
Addresses
Primary practice location
2000 S FM 51
Decatur, TX 76234-3702
Mailing address
1816 S FM 51
Suite 400, #130
Decatur, TX 76234
Phone (940) 626-1848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | TX | BCBS |
| PENDING | Medicaid | TX |
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
- Bachelor of Science, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSW Geode Clinicians of Texas PLLC | Current | Accepting new patients |
Locations
610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263
1880 N Stonebridge Dr
Ste 230
McKinney, TX 75071
Phone (469) 343-0640
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1932701844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 S FM 51",
"address_2": "SUITE 400, #130",
"city": "DECATUR",
"state": "TX",
"postal_code": "76234",
"telephone_number": "940-626-1848",
"fax_number": "940-626-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S FM 51",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343702",
"telephone_number": "940-626-1848",
"fax_number": "940-626-1849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "AJI",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "BS, RN, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-15",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1050559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PENDING",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.