Organization Active NPI

Chance Phillips, FNP, Inc.

  • Health Service Clinic/Center
  • Tulsa, OK
National Provider Identifier
1912571613
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on May 17, 2021

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

Authorized official

Name
Chance Leroy Phillips, APRN-CNPNPI 1740788595
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.