TRACY NICOLE PHILLIP (NPI# 1346584018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346584018 |
| Entity Type | Individual |
| Full Name | TRACY NICOLE PHILLIP |
| Practice Address |
9800 E 110th St N Owasso OK 74055-6666 |
| Practice Telephone | 9188102428 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
9800 E 110TH ST N |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-6666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520638 | Ecclesia Counseling Services LLC | Counselor | 10306 N 138th East Ave Ste 200, Owasso, OK 74055-4665 | 2018-05-31 |
| 1588060933 | Amber Devilbiss | Counselor | 11116 N 143rd East Ave, Owasso, OK 74055-7164 | 2014-11-12 |
| 1396084224 | Barbariae A Davis | Counselor | 10002 N 103rd East Ave, Owasso, OK 74055-7214 | 2013-02-13 |
| 1740509504 | Paula Ann Bonebrake | Counselor | 12801 E 85th St N Ste 101, Owasso, OK 74055-2259 | 2010-05-19 |
| 1962730457 | Angela Dawn Terrett | Counselor | 14700 E. 88th Pl. N. #2109, Owasso, OK 74055-4947 | 2009-11-23 |
| 1154560837 | Barbara Roberts Bold | Counselor | 9017 N 100th East Ave, Owasso, OK 74055-7093 | 2009-02-19 |
| 1104840438 | Emily Marie Christensen | Counselor | 10310 N 138th East Ave Ste 104, Owasso, OK 74055-4611 | 2006-07-27 |
| 1952881427 | Embrace Life Counseling LLC | Counselor | 10306 N 138th East Ave Ste 206, Owasso, OK 74055-4679 | 2018-08-15 |
| 1689161986 | Growing Hope Counseling LLC | Counselor | 10310 N 138th East Ave Ste 104, Owasso, OK 74055-4611 | 2018-04-23 |
| 1912398322 | Whalen Therapeutic Center Pllc | Counselor | 10306 N 138th East Ave, Ste. 206, Owasso, OK 74055-4665 | 2015-02-07 |
| Find all providers in OWASSO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.