Phillip Kime Eubanks, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

11321 Interstate 30 Suite 104
Baptist Health Behavioral Services
Little Rock, AR 72209

Phone

(501) 202-7587

Fax

(501) 202-6683

NPI assigned

Oct 27, 2009

Last updated

Jan 13, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1821324724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30",
            "address_2": "SUITE 104",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097040",
            "telephone_number": "501-202-7587",
            "fax_number": "501-202-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30 SUITE 104",
            "address_2": "BAPTIST HEALTH BEHAVIORAL SERVICES",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72209",
            "telephone_number": "501-202-7587",
            "fax_number": "501-202-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "PHILLIP",
        "middle_name": "KIME",
        "name_prefix": "Mr.",
        "credential": "MHPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Ethridge, MD
• William Joseph Cole Ettingoff
• Amanda Lea Eubanks, APN
• Chenia Y Eubanks, MD
• Daniel L. Eubanks, APRN
• Timothy Eubanks, PHARMD
• Nicholas Eudaly, PHARM. D.
• Ruth L Eudy, LCSW
• Albert Evans
• Allison Paige Evans, RN

• Case Manager/Care Coordinator in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.