JESSICA KRYSTAL PHILLIPS
NPI 1689308017
Specialist in Fresh Meadows, NY

Active since July 12, 2022
6143 186TH ST, FRESH MEADOWS, NY 11365(516) 835-9212 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Krystal Phillips NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA KRYSTAL PHILLIPS (NPI 1689308017) is an individual specialist in Fresh Meadows, New York, licensed in New York (1551552211) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1689308017
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJESSICA KRYSTAL PHILLIPS
Location Address6143 186TH STFresh Meadows, NY 11365-2710
Mailing Address53 E 43rd StBrooklyn, NY 11203-3026 · (347) 407-3710
Sole ProprietorYes
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
NPI 1689308017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 1551552211
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6143 186TH ST, Fresh Meadows, NY 11365

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
6143 186TH ST
FRESH MEADOWS, NY 11365
Social Worker (Clinical)
6143 186TH ST
FRESH MEADOWS, NY 11365
Specialist
6143 186TH ST
FRESH MEADOWS, NY 11365
Specialist
6143 186TH ST
FRESH MEADOWS, NY 11365
Social Worker
6143 186TH ST
FRESH MEADOWS, NY 11365
Specialist
6143 186TH ST
FRESH MEADOWS, NY 11365
Counselor (Mental Health)
6143 186TH ST
FRESH MEADOWS, NY 11365
Specialist
6143 186TH ST
FRESH MEADOWS, NY 11365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Phillips's NPI number?

The NPI number for Jessica Phillips is 1689308017. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Jessica Phillips located?

Jessica Phillips practices at 6143 186th St, Fresh Meadows, NY 11365. The listed phone number is (516) 835-9212.

What is Jessica Phillips's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jessica Phillips was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.