DR. RICKY WAYNE PHILLIPS DNP NPI 1477744894

NPI Information

  • NPI: 1477744894
  • Provider Name: DR. RICKY WAYNE PHILLIPS, DNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3801 HOUMA BLVD
    SUITE 100
    METAIRIE, LA
    ZIP 70006
  • Phone: (504) 309-8135

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NPI Details

DR. Ricky Wayne Phillips, DNP is a family nurse practitioner in Metairie, LA. DR. Ricky Wayne Phillips, DNP NPI is 1477744894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3801 HOUMA BLVD
SUITE 100
METAIRIE, LA
ZIP 70006-165
Phone: (504) 309-8135
Fax: (504) 309-8156

The NPI 1477744894 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 8/9/2007 and was last updated on 11/22/2019.

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
1363LF0000XNurse PractitionerFamilyAP05272LOUISIANAYes
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)AP05272LOUISIANANo

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
11029246MEDICAIDLOUISIANA

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: 3/30/2025

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