Individual provider Active NPI

Becky Lynn Phillips, FNP-C

  • Family Nurse Practitioner
  • Umatilla, OR
National Provider Identifier
1972903110
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201501464NP-PP Issued in OR
Practice address
1890 7TH St
Umatilla, OR 97882-9826
Phone
(541) 922-1750
Fax
(541) 922-1753
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
Yes

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201501464NP-PPORMDFamily Nurse Practitioner
AP60499126WAMDFamily Nurse Practitioner

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60499126 WA
Family Nurse Practitioner 363LF0000X 201501464NP-PP OR Primary

Addresses

NPPES NPI Registry

Primary practice location

1890 7TH St
Umatilla, OR 97882-9826

Mailing address

1890 7TH St
Umatilla, OR 97882-9826
Phone (541) 922-1750

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2015.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1972903110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 7TH ST",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "978829826",
            "telephone_number": "541-922-1750",
            "fax_number": "541-922-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 7TH ST",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "978829826",
            "telephone_number": "541-922-1750",
            "fax_number": "541-922-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BECKY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60499126",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201501464NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Umatilla, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.