Active NPI
Roxanna Phillips, M.D.
- Pediatrics Physician
- Neah Bay, WA
National Provider Identifier
1740515311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD2012-0533
- Practice address
- 250 Fort St
Neah Bay, WA 98357-0410 - Phone
- (575) 894-5594
- Fax
- (360) 645-2305
- NPI assigned
- Oct 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD2012-0533 | NM | Primary |
| General Practice Physician | 208D00000X | MD2012-0533 | NM |
Addresses
Primary practice location
250 Fort St
Neah Bay, WA 98357-0410
Mailing address
250 Fort St
PO Box 410
Neah Bay, WA 98357-0410
Phone (575) 894-5594
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
- Doctor of Medicine
Interoperability endpoints
- roxphilli@direct.meditouchehr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1740515311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 FORT ST",
"address_2": "PO BOX 410",
"city": "NEAH BAY",
"state": "WA",
"postal_code": "983570410",
"telephone_number": "575-894-5594",
"fax_number": "360-645-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FORT ST",
"city": "NEAH BAY",
"state": "WA",
"postal_code": "983570410",
"telephone_number": "575-894-5594",
"fax_number": "360-645-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ROXANNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-14",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD2012-0533",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "MD2012-0533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neah Bay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.