Active NPI
Irene Phillips
- Other Technician
- Phoenix, AZ
National Provider Identifier
1629524582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 4530 E Ray Rd
Suite 125
Phoenix, AZ 85044-6094 - Phone
- (480) 759-9191
- NPI assigned
- Aug 31, 2016
- Last updated
- Aug 31, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | Primary |
Addresses
Primary practice location
4530 E Ray Rd
Suite 125
Phoenix, AZ 85044-6094
Mailing address
1661 E Camelback Rd
Suite 160
Phoenix, AZ 85016-3911
Phone (602) 241-1671
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1629524582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 E CAMELBACK RD",
"address_2": "SUITE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163911",
"telephone_number": "602-241-1671",
"fax_number": "602-274-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E RAY RD",
"address_2": "SUITE 125",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446094",
"telephone_number": "480-759-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "IRENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.