Reginald S Phillips, CCP

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

301 S Club Dr
Longview, TX 75602-1511

Phone

(903) 234-0744

NPI assigned

Mar 13, 2014

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Perfusion Services LLC

  • Perfusionist
  • Longview, TX
  • NPI 1578982948
  NPD (past)

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1598181646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CLUB DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756021511",
            "telephone_number": "903-234-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CLUB DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756021511",
            "telephone_number": "903-234-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "REGINALD",
        "middle_name": "S",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indarani Phillip
• Amy J Phillips, RPH
• Harold A Phillips
• Portia Phillips
• Regina A. Phillips
• Paula Phy, SLP
• Phynet, Inc (PrimeCare Home Health)
• Phynet, Inc (Tall Pines Health Clinic)
• Phynet, Inc.
• Haley Marie Peace Pickett, PA

• Other Specialist/Technologist in Longview, TX
• Providers in Longview, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.