Individual provider Active NPI

Patty S Phillips, RN RNFA CNOR

  • Medical-Surgical Registered Nurse
  • Tulsa, OK
National Provider Identifier
1194961581
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
R0019432 Issued in OK
Practice address
6475 S Yale Ave Ste 301
Tulsa, OK 74136-7815
Phone
(918) 494-9300
Fax
(918) 494-9324
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X R0019432 OK Primary

Addresses

Primary practice location

6475 S Yale Ave Ste 301
Tulsa, OK 74136-7815

Mailing address

6475 S Yale Ave Ste 301
Tulsa, OK 74136-7815
Phone (918) 494-9300

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0019432OKMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1194961581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 S YALE AVE STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367815",
            "telephone_number": "918-494-9300",
            "fax_number": "918-494-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 S YALE AVE STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367815",
            "telephone_number": "918-494-9300",
            "fax_number": "918-494-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "PATTY",
        "middle_name": "S",
        "credential": "RN RNFA CNOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OK",
            "license": "R0019432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.