MRS. KRISTIN MAUREEN PHILLIPS FNP-C NPI 1992107882

NPI Information

  • NPI: 1992107882
  • Provider Name: MRS. KRISTIN MAUREEN PHILLIPS, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7825 BROAD RIVER RD STE 100
    IRMO, SC
    ZIP 29063
  • Phone: (803) 509-8844

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NPI Details

MRS. Kristin Maureen Phillips, FNP-C is a family nurse practitioner in Irmo, SC. MRS. Kristin Maureen Phillips, FNP-C NPI is 1992107882. 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:

7825 BROAD RIVER RD STE 100
IRMO, SC
ZIP 29063-375
Phone: (803) 509-8844
Fax: (803) 509-8845

The NPI 1992107882 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 9/23/2014 and was last updated on 8/14/2024.

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
1363LF0000XNurse PractitionerFamily25000SOUTH CAROLINAYes

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: 3/30/2025

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