Philander Smith University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

PHILANDER SMITH UNIVERSITY

Practice address

900 W Daisy L Gatson Bates Dr
Little Rock, AR 72202-3726

Phone

(501) 370-5333

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Deveta Crouther, RN

Title

Clinical Director

Phone

(501) 370-5333

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1225870306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W DAISY L GATSON BATES DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023726",
            "telephone_number": "501-370-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W DAISY L GATSON BATES DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023726",
            "telephone_number": "501-370-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILANDER SMITH UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "CROUTHER",
        "authorized_official_first_name": "DEVETA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "501-370-5333",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Elise Phelan, MD
• Patrick S Phelan, MD
• Richard Thomas Phelan, DDS, MS
• Eric I Phelps, PHD, LCSW, CGP
• Kayla Phelps, MHPP
• Robert Phillips-Cosio
• Tiffany Phillips-Peters
• Alexandria Phillips
• Alice C Phillips, OTR L
• Alton Charles Phillips Sr., PARAPROFESSIONAL

• All providers in Little Rock, AR
• Student Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.