Heather Latisha Phillips, P.H.D., MLS(ASCP)CM

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

Practice address

254 College St Floor 1
Clarksville, TN 37044-0001

Phone

(931) 221-7018

NPI assigned

May 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other names 1

• Heather Latisha Parker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1780374389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4756 15 GOVS LANE",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370440001",
            "telephone_number": "931-221-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COLLEGE ST FLOOR 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370440001",
            "telephone_number": "931-221-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HEATHER",
        "middle_name": "LATISHA",
        "name_prefix": "Dr.",
        "credential": "P.H.D., MLS(ASCP)CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QB0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Blood Banking",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QM0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Microbiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QC1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Chemistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QH0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QI0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "TN",
            "license": "0000024390",
            "primary": false
        },
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PARKER",
            "middle_name": "LATISHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ardenesia Phillips
• Caroline Phillips
• Christian Phillips, RBT
• D'Adyn Phillips
• Haley Michelle Phillips
• Katelynn Phillips, LMT
• Kyla Phillips
• Stevi Phillips, PHARMD
• Allie Philpott, DPT
• Jamia S Phinnessee

• Pathology Specialist/Technologist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Pathology Specialist/Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.