Active NPI
Deana Phipps, RN
- Registered Nurse
- Southington, CT
National Provider Identifier
1568235257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 19969671
- Practice address
- 19 Crystal Farms CT
Southington, CT 06489-3842 - Phone
- (860) 384-0509
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | CT | ||
| Registered Nurse | 163W00000X | 19969671 | CT | Primary |
Addresses
Primary practice location
19 Crystal Farms CT
Southington, CT 06489-3842
Mailing address
19 Crystal Farms CT
Southington, CT 06489-3842
Phone (860) 384-0509
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19969671 | CT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1568235257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CRYSTAL FARMS CT",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893842",
"telephone_number": "860-384-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 CRYSTAL FARMS CT",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893842",
"telephone_number": "860-384-0509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "DEANA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "19969671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.