Active NPI
Kristin Maureen Phillips, FNP-C
- Family Nurse Practitioner
- Clinton, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25000
- Practice address
- 1304 Springdale Dr
Clinton, SC 29325-7226 - Phone
- (864) 833-6287
- NPI assigned
- Sep 23, 2014
- Last updated
- Jul 14, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25000 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homestead Hospice of Columbia LLC | Current | Accepting new patients | |
| Hospice of Laurens County Inc | Current | Accepting new patients | |
| Hospice & Palliative Care Charlotte Region | Current | Accepting new patients | |
| Homestead Hospice of Columbia LLC | Current | Accepting new patients | |
| Hospice & Palliative Care Charlotte Region | Current | Accepting new patients | |
| Caremore Medical Group of North Carolina, PC | Current | Accepting new patients | |
| Hospice of Laurens County Inc | Current | 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
- https://fhir4.healow.com/fhir/r4/JJDHDD
- 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.
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1659775831
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
SC, VA
-
dba Traditions Health of Columbia
- Community Based Hospice Care Agency
- Irmo, SC
- NPI 1245603455
-
dba Traditions Health of Columbia
- Clinic/Center
- Irmo, SC
- NPI 1427794817
-
dba VIA Health Partners
- Hospice and Palliative Medicine (Family Medicine) Physician
- Fort Mill, SC
- NPI 1417570771
-
dba Hospice & Palliative Care Palmetto Region
- Community Based Hospice Care Agency
- Fort Mill, SC
- NPI 1679991301
-
dba VIA Health Partners
- Hospice and Palliative Medicine (Family Medicine) Physician
- Clinton, SC
- NPI 1275156606
-
dba VIA Health Partners
- Community Based Hospice Care Agency
- Clinton, SC
- NPI 1912912890
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1750903134
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Leawood, KS
- NPI 1952831422
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
- PC Community Care Pharmacy
- Kathryn Anderson Peacock, PHARMD
- Tracy A Pedigo, CRNA
- Jessica Isabella Persaud
- Starlin D. Phelps, MA, CACP
- Physical Rehabilitation Group, LLC
- Physician Management Services of South Carolina, LLC
- Piedmont Pediatrics LLC
- Piedmont Pediatrics LLC
- Piedmont Pulmonary Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.