Amy D Phillips, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

149621 Issued in MO

Practice address

3171 NE Carnegie Dr
Suite a
Lees Summit, MO 64064-3215

Phone

(816) 525-2800

Fax

(816) 525-4077

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Mercy-Summit Pediatrics & Adolescent Medicine

  • Pediatrics Physician
  • Lees Summit, MO
  • NPI 1447751375
  NPD (past)
• Summit Pediatrics, LLC

  • Clinic/Center
  • Lees Summit, MO
  • NPI 1700151818
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1942323985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 NE CARNEGIE DR",
            "address_2": "SUITE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640643215",
            "telephone_number": "816-525-2800",
            "fax_number": "816-525-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 NE CARNEGIE DR",
            "address_2": "SUITE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640643215",
            "telephone_number": "816-525-2800",
            "fax_number": "816-525-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "149621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoff Peterson
• Patti K Peterson, LPC
• Tamara Lee Peterson, D.O.
• Dawn Lynette Petty, N.P.
• Phillip Montoya, DDS LLC
• Chelsea Phillips, IBCLC
• Tracy B Phillips, M.D.
• Physical Therapy Plus, Inc.
• Physicians Reference Laboratory LLC
• Physicians Reference Laboratory LLC

• Pediatric Nurse Practitioner in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.