Individual provider Active NPI

Kristin Maureen Phillips, FNP-C

  • Family Nurse Practitioner
  • Clinton, SC
National Provider Identifier
1992107882
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25000 Issued in SC
Practice address
1304 Springdale Dr
Clinton, SC 29325-7226
Phone
(864) 833-6287
NPI assigned
Sep 23, 2014
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 25000 SC Primary

Addresses

Primary practice location

1304 Springdale Dr
Clinton, SC 29325-7226

Mailing address

PO Box 470408
Charlotte, NC 28247-0408
Phone (704) 375-0100

Other practice location 1

1061 Red Ventures Dr Ste 130
Fort Mill, SC 29707-2516
Phone (704) 375-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, NC, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180604000811 GA Practitioner - Nurse Practitioner 7214292754
I20210730000992 SC Practitioner - Nurse Practitioner 7214292754 Reassigns benefits to 1 organization
I20211209001087 NC Practitioner - Nurse Practitioner 7214292754 Reassigns benefits to 1 organization
I20231010001306 VA Practitioner - Nurse Practitioner 7214292754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25000SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Hospice of Columbia LLC CurrentSince Aug 18, 2024 Accepting new patients
Hospice of Laurens County Inc CurrentSince Jul 6, 2026 Accepting new patients
Hospice & Palliative Care Charlotte Region CurrentSince Jul 6, 2026 Accepting new patients
Homestead Hospice of Columbia LLC CurrentSince Aug 18, 2024 Accepting new patients
Hospice & Palliative Care Charlotte Region CurrentSince Jul 6, 2026 Accepting new patients
Caremore Medical Group of North Carolina, PC CurrentSince Jun 16, 2025 Accepting new patients
Hospice of Laurens County Inc CurrentSince Jul 6, 2026 Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

7845 Little Ave
Charlotte, NC 28226

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887

1304 Springdale Dr
Clinton, SC 29325
Phone (864) 833-6287

2180 Boyce St
Ste B
Columbia, SC 29201
Phone (803) 431-2390

1061 Red Ventures Dr
Ste 130
Fort Mill, SC 29707
Phone (803) 548-3708

7825 Broad River Rd
Ste 100
Irmo, SC 29063
Phone (803) 509-8844

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDHDD
  • Direct secure messaging: kristin.phillips@237407481626628.direct.elationemr.com

Organizations & group practices 10

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1992107882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "704-375-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 SPRINGDALE DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257226",
            "telephone_number": "864-833-6287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Red Ventures Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297072516",
            "country_code": "US",
            "telephone_number": "704-375-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KRISTIN",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.