Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

WYATT ROSS PHIPPS
NPI 1093636169
Case Manager/Care Coordinator in Pryor, OK

Active since July 23, 2026

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wyatt Ross Phipps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYATT ROSS PHIPPS (NPI 1093636169) is an individual case manager/care coordinator provider in Pryor, Oklahoma and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1093636169
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameWYATT ROSS PHIPPS
Location Address4144 REDDENPryor, OK 74361-9191
Mailing Address29809 E 155th St SCoweta, OK 74429-6016 · (918) 849-2857
Sole ProprietorYes
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
NPI 1093636169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

4144 REDDEN, Pryor, OK 74361

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ambulance (Land Transport)
4144 REDDEN
PRYOR, OK 74361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyatt Phipps's NPI number?

The NPI number for Wyatt Phipps is 1093636169. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Wyatt Phipps located?

Wyatt Phipps practices at 4144 Redden, Pryor, OK 74361. The listed phone number is (918) 825-6825.

What is Wyatt Phipps's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Wyatt Phipps was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.