DR. RICKY WAYNE PHILLIPS (NPI# 1477744894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477744894 |
| Entity Type | Individual |
| Full Name | DR. RICKY WAYNE PHILLIPS |
| Credential | DNP |
| Practice Address |
3801 Houma Blvd Suite 100 Metairie LA 70006-4165 |
| Practice Telephone | 5043098135 |
| Practice Fax Number | 5043098156 |
| Mailing Telephone | 5043098135 |
| Mailing Fax Number | 5043098156 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
AP05272 | LA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP05272 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1029246 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790057693 | Ricky Joe Phillips | Counselor | 4346 Terrace Ln Se, Kentwood, MI 49512-5602 | 2012-02-07 |
| 1437261203 | Ricky D Phillips | Chiropractor | 5150 Graves Ave Ste 7, San Jose, CA 95129-5007 | 2006-08-31 |
| 1942262522 | Ricky Lawton Phillips | Emergency Medicine | 1703 Vestwood Hills Dr, Vestavia, AL 35216-1367 | 2006-04-06 |
| Street Address |
3801 HOUMA BLVD SUITE 100 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-4165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275748675 | Shannon Christopher Ceasar | General Practice | 3801 Houma Blvd, Suite 100, Metairie, LA 70006-4165 | 2007-05-11 |
| 1730633926 | Pelican Primary Care LLC | Registered Nurse | 3801 Houma Blvd, Suite 100, Metairie, LA 70006-4165 | 2016-08-05 |
| 1467741785 | Gulf South Physicians Group | Surgery | 3801 Houma Blvd, Suite 100, Metairie, LA 70006-4165 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1649896978 | Metairie Total Health LLP | Nurse Practitioner | 3829 Veterans Memorial Blvd Ste 101b, Metairie, LA 70002-5614 | 2020-06-23 |
| 1326677873 | Tiffanie Bourgeois | Nurse Practitioner | 2450 Severn Ave Ste 315, Metairie, LA 70001-6949 | 2020-04-06 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1851945521 | Lara S Hernandez | Nurse Practitioner | 4224 Houma Blvd Ste 530, Metairie, LA 70006-2938 | 2019-07-30 |
| 1619448180 | Natalie Garzotto Schneider | Nurse Practitioner | 3016 Ridgeway Dr, Metairie, LA 70002-5054 | 2018-12-10 |
| 1760976781 | Cinnamon Brooke Tucker | Nurse Practitioner | 3000 W Esplanade Ave N Ste 300, Metairie, LA 70002-1877 | 2018-06-22 |
| 1962908616 | Jessica Nichole Vanderbrook | Nurse Practitioner | 3434 Houma Blvd Ste 301, Metairie, LA 70006-4201 | 2018-04-02 |
| 1639678154 | Tara B Zaabel | Nurse Practitioner | 3941 Houma Blvd. Ste. 2b, Metairie, LA 70006 | 2018-02-10 |
| 1689173296 | Christopher Rue | Nurse Practitioner | 608 Maryland Ave, Metairie, LA 70003-7036 | 2018-02-09 |
| Find all providers in METAIRIE | ||||
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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.