PEGGY MARIE PHILLIPS RN-BC ANP-C NPI 1134429046

NPI Information

NPI: 1134429046
Provider Name: PEGGY MARIE PHILLIPS, RN-BC, ANP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
17448 HIGHWAY 3
SUITE 136
WEBSTER, TX
ZIP 77598
Phone: (281) 338-4443
Get Directions

Peggy Marie Phillips, RN-BC, ANP-C is an adult health nurse practitioner in Webster, TX with 14 years of experience. Peggy Marie Phillips, RN-BC, ANP-C NPI is 1134429046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17448 HIGHWAY 3
SUITE 136
WEBSTER, TX
ZIP 77598-197
Phone: (281) 338-4443
Fax: (281) 338-8821

The NPI 1134429046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2010 and was last updated on 8/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	1010004	TEXAS	No
2	363LA2200X	Nurse Practitioner	Adult Health	518144	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01197024	OTHER	TEXAS	MEDICARE RR
2	P00988009	OTHER	TEXAS	RAILROAD MEDICARE
3	280521001	MEDICAID	TEXAS
4	TXB117516	MEDICARE PIN	TEXAS
5	280521002	MEDICAID	TEXAS
6	832N36	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
7	280521004	MEDICAID	TEXAS
8	TXB141687	MEDICARE PIN	TEXAS
9	1134429046	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
10	280521003	MEDICAID	TEXAS
11	401060YMVQ	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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