Individual provider Active NPI

Kristi Ann Phillips, MA, LMFT

  • Marriage & Family Therapist
  • Corpus Christi, TX
National Provider Identifier
1881803104
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
200888 Issued in TX
Practice address
3833 S Staples St
S-203
Corpus Christi, TX 78411-5201
Phone
(361) 852-9665
Fax
(361) 852-2794
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 200888 TX Primary

Addresses

Primary practice location

3833 S Staples St
S-203
Corpus Christi, TX 78411-5201

Mailing address

3833 S Staples St
S-203
Corpus Christi, TX 78411-5201
Phone (361) 852-9665

Other identifiers 1

IdentifierTypeStateIssuer
1830333-01MedicaidTX

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
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1881803104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 S STAPLES ST",
            "address_2": "S-203",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115201",
            "telephone_number": "361-852-9665",
            "fax_number": "361-852-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 S STAPLES ST",
            "address_2": "S-203",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115201",
            "telephone_number": "361-852-9665",
            "fax_number": "361-852-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KRISTI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "200888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1830333-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

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