Destiny Dominique Phillips, M.ED

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4201 W Memorial Rd Apt 10112
Oklahoma City, OK 73134-1768

Phone

(405) 291-0131

NPI assigned

Apr 12, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1083177380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W MEMORIAL RD APT 10112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341768",
            "telephone_number": "405-291-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEMORIAL RD APT 10112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341768",
            "telephone_number": "405-291-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 W Memorial Rd Apt 10112",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731341768",
            "country_code": "US",
            "telephone_number": "405-291-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DESTINY",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Ms.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Ferguson Phillips, PA-C
• Christopher Allen Phillips, PHARMD
• Claudia Marie Phillips, M.A.
• Cynthia Kathleen Phillips
• Denise Lauren Phillips, LPN
• Dora Diane Phillips
• Hilarey Phillips
• Jennifer Alison Phillips, FNP-C
• Jerome Latray Phillips, B.S, BHRS
• Joanna Rena Phillips, CPRSS

• Case Manager/Care Coordinator in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.