Active NPI
Chance Phillips, FNP, Inc.
- Health Service Clinic/Center
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CHANCE PHILLIPS, FNP, INC.
- Practice address
- 4564 S Harvard Ave Ste B
Tulsa, OK 74135-2918 - Phone
- (918) 508-2220
- NPI assigned
- May 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chance Leroy Phillips, APRN-CNP
- Title
- Owner/Nurse Practitioner
- Phone
- (806) 886-0062
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
4564 S Harvard Ave Ste B
Tulsa, OK 74135-2918
Mailing address
2706 E 39TH PL
Tulsa, OK 74105-8209
Phone (806) 886-0062
National Provider Directory
National Provider DirectoryLocations
4564 S Harvard Ave
Ste B
Tulsa, OK 74135
Phone (918) 508-2220
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.
-
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1740788595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621209600000",
"number": "1912571613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 E 39TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741058209",
"telephone_number": "806-886-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4564 S HARVARD AVE STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741352918",
"telephone_number": "918-508-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANCE PHILLIPS, FNP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "CHANCE",
"authorized_official_middle_name": "LEROY",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "806-886-0062",
"authorized_official_credential": "APRN-CNP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.