Caitlyn Phillips

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

352316 Issued in TX

Practice address

402 S Temple Dr
Diboll, TX 75941-2422

Phone

(936) 899-4979

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1144826157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 DAIRY ASHFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793021",
            "telephone_number": "713-799-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S TEMPLE DR",
            "city": "DIBOLL",
            "state": "TX",
            "postal_code": "759412422",
            "telephone_number": "936-899-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "352316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lynn Klimpel McKnight, BCBA, LBA, LPC
• Akshay Manoj Menon, DDS
• Paige Alexandria Mundt, PTA
• Ashley Dawn Norris
• Arpitkumar A Patel
• Kolbie Rashell Sanders
• Vineet Sharma, DDS
• SLP Diboll LLC (Diboll Nursing and Rehab)
• Kyle Snyder, DDS
• Carlos Alberto Solorzano, CSFA

• Licensed Vocational Nurse in Diboll, TX
• Providers in Diboll, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.