Emily Ann Phillips, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

200293 Issued in LA

Practice address

305 E Lougarre St
Church Point, LA 70525-4105

Phone

(225) 505-7647

NPI assigned

Feb 1, 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

State licenses

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1205391430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROBLEY DR APT 7308",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E LOUGARRE ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254105",
            "telephone_number": "225-505-7647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Robley Dr Apt 7308",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705035534",
            "country_code": "US",
            "telephone_number": "225-505-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "200293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Raphel Palispis, MD
• Martina Patt
• Pediatric Group of Acadiana LLC
• Pellman'S, LLC
• Sunethra Manel Perera Benoit
• Physical Therapy Services of Church Point Inc
• Marcelo Granado Polanco, MD
• Rachel T Qaisieh, FNP
• McKenzi Richard
• Krystal Byers Rung, PHARM D.

• Athletic Trainer in Church Point, LA
• Providers in Church Point, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.