Mandy Phillips, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

127756 Issued in OK

Practice address

138 South Main
Afton, OK 74331-1822

Phone

(918) 257-4244

Fax

(918) 257-4247

NPI assigned

Mar 7, 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1629570569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SOUTH MAIN",
            "city": "AFTON",
            "state": "OK",
            "postal_code": "743311822",
            "telephone_number": "918-257-4244",
            "fax_number": "918-257-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 SOUTH MAIN",
            "city": "AFTON",
            "state": "OK",
            "postal_code": "743311822",
            "telephone_number": "918-257-4244",
            "fax_number": "918-257-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MANDY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "127756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Renae Odell
• Jamey Andrew Olson
• Jennifer Osburn
• Angela Marie Overstreet
• Russell Allen Peters, APRN
• Terry Gene Pierce, L.P.C.
• Carmen Pilkinton
• Patricia Quinn
• Tiffany Reed
• Karen O Richmond, LCSW

• All providers in Afton, OK
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.