IndividualActive
Patrick Phillips, LPN
NPI 1255899324 · Licensed Practical Nurse · Grand Rapids, MI
Provider details
- NPI number
- 1255899324
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- License
- 4703120713 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1215 Fulton St E
Grand Rapids, MI 49503-3849
Phone: (616) 742-0351
Street-level locationGet directions
Mailing address
102 Perrine Pl Nw
Grand Rapids, MI 49534-8719
Registry dates
- Enumerated
- 2019-03-07
- Last updated
- 2019-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.