Angelia Mechelle Phillips, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

189276 Issued in TX

Practice address

400 Airport Rd
Terrell, TX 75160-4302

Phone

(972) 524-4159

Fax

(972) 563-3370

NPI assigned

Mar 6, 2018

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1417459306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 TIMBERSIDE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751615374",
            "telephone_number": "214-356-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AIRPORT RD",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751604302",
            "telephone_number": "972-524-4159",
            "fax_number": "972-563-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANGELIA",
        "middle_name": "MECHELLE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "189276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Centered Health Group
• Peak Physical Therapy, LLC
• Pediatric Depot PLLC
• Perla Dental of Terrell
• Lauren Peterson, CSFA
• Yvonne Vina Pleasant, LPC, CRC
• Jeffrey David Pope, DDS
• Katie Powell
• Premier Health Care
• Premier Vision, P.C.

• Licensed Vocational Nurse in Terrell, TX
• Providers in Terrell, 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 Mar 6, 2018; 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.