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Deactivated NPI 1053520569 Deactivated / Inactive NPI Female Practitioner

Desiree Phillips

General Practice • Aurora, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Desiree Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2007
NPI Deactivation Date July 09, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Desiree Phillips was a registered General Practice practicing in Aurora, CO. Throughout an active medical career spanning 12 years, Desiree Phillips provided care at the practice location at 2500 S HAVANA ST until profile deactivation on 2019-07-09.

Practice Location & Contact Primary Location

Practice Address

2500 S Havana St

Aurora, CO 800141618

Telephone 3037435855
Associated Practice Facility / Clinic
🏢 Kaiser Permanente Facility NPI 1205015880

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Aurora, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.7 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
90 Specialists

Practicing in Aurora, CO (331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO 41887

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003028408
Brandi Smalley

General Practice

NPI 1003033424
Susan Warner

Nurse Practitioner

NPI 1003943671
Sandra Nelson , RN

Internal Medicine

NPI 1013044098

Registered Nurse

Kathryn Wood

Internal Medicine

NPI 1013050566
NPI 1013051812

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 09, 2019

Record deactivated on July 09, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2500 S HAVANA ST, AURORA, CO 800141618 (Tel: 3037435855)

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Updated Business Mailing Address July 08, 2007

Registered at 10150 E HARVARD AVE, #F-450, DENVER, CO 802313963

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Provider Name / Credentials Updated July 08, 2007

Recorded as DESIREE PHILLIPS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #41887 in CO)

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Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053520569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: July 08, 2007
Deactivation Date: July 09, 2019

Mailing Address

10150 E Harvard Ave, #f-450

Denver, CO 802313963

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.