Michelle Kay Phillips, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.167942.MEDS Issued in OH

Practice address

5850 Ridge Rd
Parma, OH 44129-3169

Phone

(833) 510-4357

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Indianapolis Treatment Center, LLC

  • Methadone Clinic
  • Indianapolis, IN
  • NPI 1275686123
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1972725513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293169",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 E 46th St",
            "address_2": "Suite J",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462052380",
            "country_code": "US",
            "telephone_number": "317-475-9066 x102",
            "fax_number": "317-472-9683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHELLE",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27047636A",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.167942.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madia Reeves Pewu, NP
• John Peyko, PHARMD
• Channagiri Phanindra, M.D
• Cherie Renee Phillips, M.D.
• Michael J Phillips, PHARMD, RPH
• Honey B Philpot, STNA
• Physicians Medical Group
• Mary Bridget Piepsny, RPH
• Halie Michelle Pietrzyk, M.A., CCC-SLP
• Meredith Piovarchy, M.A.CCC-SLP

• Licensed Practical Nurse in Parma, OH
• Providers in Parma, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.