Tara Phillips, CRNP
NPI 1104476605 · Primary Care Nurse Practitioner · Philadelphia, PA
Tara Phillips, CRNP is a Primary Care Nurse Practitioner provider in Philadelphia, PA (NPI 1104476605).
Provider details
- NPI number
- 1104476605
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SP020108 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-17
- Last updated
- 2019-09-17
Frequently asked questions
- What is Tara Phillips's NPI number?
- Tara Phillips's National Provider Identifier (NPI) is 1104476605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Phillips's specialty?
- Tara Phillips is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tara Phillips located?
- Tara Phillips's practice location on file with NPPES is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319.
- What is Tara Phillips's phone number?
- The practice phone number listed in the NPPES registry for Tara Phillips is (203) 710-4883.
- Is Tara Phillips's NPI active?
- Yes — Tara Phillips's NPI (1104476605) is active in the NPPES registry as of the last update on 2019-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.