Fontella Phillips-Reid, HOMEHEALTH, CNA

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

37V618580815 Issued in OK

Practice address

4770 Woodview Dr
Del City, OK 73115-4224

Phone

(405) 777-0778

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1891446092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WOODVIEW DR",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731154224",
            "telephone_number": "405-777-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 WOODVIEW DR",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731154224",
            "telephone_number": "405-777-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-REID",
        "first_name": "FONTELLA",
        "credential": "HOMEHEALTH, CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OK",
            "license": "37V618580815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Del City, OK
• Providers in Del City, OK by specialty
• Home Health Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.