Organization Active NPI

Phipps Footcare

  • Durable Medical Equipment & Medical Supplies
  • Mineral Wells, TX
National Provider Identifier
1821438599
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHIPPS FOOTCARE
Practice address
1301 SE 1St St
Suite C
Mineral Wells, TX 76067-5507
Phone
(940) 222-0234
Fax
(940) 468-2175
NPI assigned
Jun 26, 2013
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Ms. Yvette N Phipps, C.PED.NPI 1104249945
Title
Owner
Phone
(940) 222-0234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1301 SE 1St St
Suite C
Mineral Wells, TX 76067-5507

Mailing address

PO Box 1071
Mineral Wells, TX 76068-1071
Phone (940) 222-0234

National Provider Directory

National Provider Directory

Locations

1301 SE 1st St
Ste C
Mineral Wells, TX 76067
Phone (940) 222-0234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1821438599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760681071",
            "telephone_number": "940-222-0234",
            "fax_number": "940-468-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SE 1ST ST",
            "address_2": "SUITE C",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675507",
            "telephone_number": "940-222-0234",
            "fax_number": "940-468-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIPPS FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-222-0234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.