Active NPI
Teresa Marie Phillips, FNP
- Family Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1619132677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 47205
- Practice address
- 1145 S. Utica Ave
Ste 460
Tulsa, OK 74104-4642 - Phone
- (918) 579-5749
- Fax
- (918) 560-5791
- NPI assigned
- Jul 18, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 530607 | TX | |
| Family Nurse Practitioner | 363LF0000X | 47205 | OK | Primary |
Addresses
Primary practice location
1145 S. Utica Ave
Ste 460
Tulsa, OK 74104-4642
Mailing address
1145 S. Utica Ave
Ste 460
Tulsa, OK 74104-4642
Phone (918) 579-5749
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47205 | OK | MD | Family Nurse Practitioner |
| 530607 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1619132677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S. UTICA AVE",
"address_2": "STE 460",
"city": "TULSA",
"state": "OK",
"postal_code": "741044642",
"telephone_number": "918-579-5749",
"fax_number": "918-560-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 S. UTICA AVE",
"address_2": "STE 460",
"city": "TULSA",
"state": "OK",
"postal_code": "741044642",
"telephone_number": "918-579-5749",
"fax_number": "918-560-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "530607",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "47205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.