Daniel Phillips, EDD,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00424671 Issued in AL

Practice address

The Kirklin Clinic ENT Otolaryngology Clinic
6TH Ave So
Birmingham, AL 35294-0012

Phone

(205) 934-9766

Fax

(205) 934-3993

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• ENT Associates of Alabama, P.C.

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1841301082
  NPD

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1750357331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 CARY DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302504",
            "telephone_number": "334-209-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE KIRKLIN CLINIC ENT OTOLARYNGOLOGY CLINIC",
            "address_2": "6TH AVE SO",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940012",
            "telephone_number": "205-934-9766",
            "fax_number": "205-934-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "EDD,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "00424671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL PROVIDER",
            "identifier": "51060621",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Phillips
• Aubrey Phillips
• Brandon Phillips
• Carlton Phillips
• Caroline Evers Phillips
• Deandra Ransaw Phillips
• Dianne Phillips, CRNP
• Dowanda Denise Phillips, FNP
• Emily Phillips, DPT
• Haley Phillips, BCBA

• Speech-Language Pathologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.