TARA LADAWN PHILLIPS FNP-C NPI 1801378641

NPI Information

NPI: 1801378641
Provider Name: TARA LADAWN PHILLIPS, FNP-C
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
410 MOONLIGHT ST
IDABEL, OK
ZIP 74745
Phone: (580) 212-1856
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Tara Ladawn Phillips, FNP-C is a general practice registered nurse in Idabel, OK with 6 years of experience. Tara Ladawn Phillips, FNP-C NPI is 1801378641. 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:

410 MOONLIGHT ST
IDABEL, OK
ZIP 74745-108
Phone: (580) 212-1856

The NPI 1801378641 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 8/29/2018 and was last updated on 6/5/2020.

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
1	363L00000X	Nurse Practitioner		113302	OKLAHOMA	No
2	163WG0000X	Registered Nurse	General Practice	113302	OKLAHOMA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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