Phillips Family Medical Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PHILLIPS FAMILY MEDICAL CLINIC LLC

Practice address

111 N 3Rd St
Hugo, OK 74743-4001

Phone

(580) 372-2819

Fax

(580) 372-2647

NPI assigned

Feb 10, 2025

Organization subpart

No

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

Authorized official

Name

Kendall Phillips, APRN-CNPNPI 1346819802

Title

Owner

Phone

(580) 372-2819

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendall Phillips, FNP

  • Family Nurse Practitioner
  • Hugo, OK
  • NPI 1346819802
  Medicare reassignment NPD Authorized official
• Terry Jean Draper, FNP

  • Family Nurse Practitioner
  • Antlers, OK
  • NPI 1942793351
  NPD

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1346055050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 3RD ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434001",
            "telephone_number": "580-372-2819",
            "fax_number": "580-372-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 3RD ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434001",
            "telephone_number": "580-372-2819",
            "fax_number": "580-372-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS FAMILY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-372-2819",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara Ruth Pierce, LMSW
• Jacqueline Kit Pipkin, B.S.

• Family Nurse Practitioner in Hugo, OK
• Providers in Hugo, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.