MR. TIMOTHY BROOKS PHILLIPS APRN AG-CNS NPI 1477194835

NPI Information

NPI: 1477194835
Provider Name: MR. TIMOTHY BROOKS PHILLIPS, APRN, AG-CNS
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
300 W 10TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-2101
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MR. Timothy Brooks Phillips, APRN, AG-CNS is an adult health clinical nurse specialist in Columbus, OH. MR. Timothy Brooks Phillips, APRN, AG-CNS NPI is 1477194835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 W 10TH AVE
COLUMBUS, OH
ZIP 43210-280
Phone: (614) 293-2101
Fax: (614) 293-9155

The NPI 1477194835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2019 and was last updated on 1/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SA2200X	Clinical Nurse Specialist	Adult Health	APRN.CNS.019359	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0387155	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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