Candice T Phillips, DRPH

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

2657421 Issued in AR

Practice address

2612 E Monroe Ave
West Memphis, AR 72301-6032

Phone

(901) 352-8566

NPI assigned

Sep 20, 2025

Last updated

Sep 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other names 1

• Teena Wilson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1758326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1730051608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 E MONROE AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723016032",
            "telephone_number": "901-352-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 E MONROE AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723016032",
            "telephone_number": "901-352-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CANDICE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "DRPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-20",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "AR",
            "license": "105121",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AR",
            "license": "908464201",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": "2901552",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": "105121",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "AR",
            "license": "2657421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEENA",
            "last_name": "WILSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anita Peel, MHPP
• Tamara Pelkey, LMSW
• Adrian Perry
• Andrew Peters
• Gregory Adam Phelps, PHARMD
• Inman Phillips
• Debra Phipps, MSPT
• Chelsea Pickard
• Trent Patterson Pierce, M.D.
• Stephen Scott Pirtle, MD

• Phlebotomy Technician in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Phlebotomy Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.