Tina Renee Phipps, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5019497 Issued in NC

Practice address

1006 S Jefferson Ave
West Jefferson, NC 28694-9729

Phone

(226) 219-0055

Fax

(336) 450-1854

NPI assigned

Jan 25, 2024

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• High Country House Call

  • Clinic/Center
  • West Jefferson, NC
  • NPI 1073965760
  NPD

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1093577199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6498 US HIGHWAY 221 S",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286948029",
            "telephone_number": "336-977-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S JEFFERSON AVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949729",
            "telephone_number": "226-219-0055",
            "fax_number": "336-450-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "TINA",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5019497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Beginnings Carolina, LLC
• Nichole Peralta Azor, PLLC
• North Carolina Physicians Eyecare Group, P.C.
• Northland Hearing Centers, Inc.
• Heather Barker Peters, NP
• Mary Elizabeth Pierce, LPC
• Dorothy Marie Ray, LDO, ABO, NCLE
• Timothy Mark Rector
• Charles D Reed, BSPH
• Rha Health Services NC, LLC

• Family Medicine Physician in West Jefferson, NC
• Providers in West Jefferson, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.