Active NPI
Emily L Phipps
- Behavior Analyst
- Davis, CA
National Provider Identifier
1063931350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65569
- Practice address
- 2832 Zamora LN
Davis, CA 95618-6583 - Phone
- (916) 801-8114
- NPI assigned
- Sep 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-65569 | ID | Primary |
Addresses
Primary practice location
2832 Zamora LN
Davis, CA 95618-6583
Mailing address
2832 Zamora LN
Davis, CA 95618-6583
Phone (916) 801-8114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1063931350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2832 ZAMORA LN",
"city": "DAVIS",
"state": "CA",
"postal_code": "956186583",
"telephone_number": "916-801-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2832 ZAMORA LN",
"city": "DAVIS",
"state": "CA",
"postal_code": "956186583",
"telephone_number": "916-801-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "EMILY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "ID",
"license": "1-23-65569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.