TARA LADAWN PHILLIPS (NPI# 1801378641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801378641 |
| Entity Type | Individual |
| Full Name | TARA LADAWN PHILLIPS |
| Credential | FNP-C |
| Practice Address |
410 Moonlight St Idabel OK 74745-8108 |
| Mailing Address |
Po Box 1837 Idabel OK 74745-1837 |
| Practice Telephone | 5802121856 |
| Mailing Telephone | 5802128624 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
113302 | OK | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 113302 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225331150 | Tara Michele Phillips | Social Worker | 3301 Cobblestone Blvd, Fayetteville, GA 30215-7312 | 2010-12-15 |
| 1104476605 | Tara Mulvey Phillips | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-09-17 |
| 1881243020 | Tara A Phillips | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-09-10 |
| 1255749594 | Tara E Phillips | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2014-07-30 |
| 1023375631 | Tara Phillips | Speech-Language Pathologist | 2758 E Millennium Pl, Fayetteville, AR 72703-4798 | 2012-04-19 |
| 1881821999 | Tara Phillips | Nurse's Aide | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-06-16 |
| Street Address |
410 MOONLIGHT ST |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-8108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261483 | Bejoy Kurian | Registered Nurse | 444 Cactus Rd, Yukon, OK 73099-6852 | 2020-09-24 |
| 1336766112 | Jordan Lynel Meyers | Registered Nurse | 3420 Northview Dr, Beggs, OK 74421-2343 | 2020-06-29 |
| 1255976296 | Joyce Daniel | Registered Nurse | 1350 County Rd 90, Tonkawa, OK 74653-4414 | 2019-11-13 |
| 1407407067 | Julia Francis | Registered Nurse | 6717 Bear Canyon Dr, Oklahoma City, OK 73162-6721 | 2019-09-25 |
| 1821654260 | Genevieve Kathleen Darwiche | Registered Nurse | 1300 S Aries Rd, Edmond, OK 73003-5820 | 2019-05-10 |
| 1366931396 | Kathy Diane Short | Registered Nurse | 229 E Meade Dr, Yukon, OK 73099-5749 | 2018-05-04 |
| 1124536388 | Jacqueline Ann Yarbrough | Registered Nurse | 4488 Nw 257th St, Indiahoma, OK 73552-3230 | 2018-01-22 |
| 1841729241 | Yoyma Pedroso Lopez | Registered Nurse | 4521 192nd Ave Se, Noble, OK 73068 | 2017-06-08 |
| 1497083612 | Diana Kathleen Schaeffer | Registered Nurse | 5809 Nw 103rd Pl, Oklahoma City, OK 73162-6969 | 2009-11-29 |
| 1043496797 | Michael Bennie Gibson | Registered Nurse | 1142 Robin Hood Ln, Norman, OK 73072-7502 | 2008-01-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TARA LADAWN PHILLIPS.
| 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.