Phillip Yuill Mummah

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

731183 Issued in PA

Practice address

26 Pennrose Talley
Garnet Valley, PA 19060-1623

Phone

(484) 574-0551

NPI assigned

Jun 27, 2024

Sex

Male

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": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1962247288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PENNROSE TALLEY",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601623",
            "telephone_number": "484-574-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PENNROSE TALLEY",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601623",
            "telephone_number": "484-574-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMMAH",
        "first_name": "PHILLIP",
        "middle_name": "YUILL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "731183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhoel Mercado, PT
• Moby Ventures LLC
• Jennifer Moore
• Marisa Morelli, M.S.
• Motherly Home Health Care, LLC.
• Patrick Murphy, DO
• Brittany O'Shea
• Eileen Ortals, OTR/L
• Brooke Oslar, OTR/L
• Kaylen Patel

• Registered Nurse in Garnet Valley, PA
• Providers in Garnet Valley, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.