MS. ELLICENE R PHILLIPS ARNP NPI 1912102492

NPI Information

  • NPI: 1912102492
  • Provider Name: MS. ELLICENE R PHILLIPS, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2000 TOWERSIDE TER # 1410 # T2
    MIAMI SHORES, FL
    ZIP 33138
  • Phone: (786) 390-8579

Map and Directions

Get Directions

NPI Details

MS. Ellicene R Phillips, ARNP is a family nurse practitioner in Miami Shores, FL. MS. Ellicene R Phillips, ARNP NPI is 1912102492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2000 TOWERSIDE TER # 1410 # T2
MIAMI SHORES, FL
ZIP 33138-244
Phone: (786) 390-8579

The enumeration date for this NPI number is 6/15/2007 and was last updated on 6/16/2014.

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
1332B00000XDurable Medical Equipment & Medical SuppliesFLORIDANo
2363LF0000XNurse PractitionerFamily446112FLORIDAYes

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
1000K0136MEDICARE ID-TYPE UNSPECIFIEDFLORIDA#94312C
230231760MEDICAIDFLORIDA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI