Yvette N Phipps, C.PED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

CPED3729 Issued in TX

Practice address

1301 SE 1St St
Suite C
Mineral Wells, TX 76067-5507

Phone

(940) 222-0234

Fax

(940) 468-2175

NPI assigned

Jan 30, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2014.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1104249945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760681071",
            "telephone_number": "940-222-0234",
            "fax_number": "940-468-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SE 1ST ST",
            "address_2": "SUITE C",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675507",
            "telephone_number": "940-222-0234",
            "fax_number": "940-468-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "YVETTE",
        "middle_name": "N",
        "credential": "C.PED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "CPED3729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mineral Wells, TX
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.