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TINA DANIELLE PHIPPS
NPI 1356957724
Registered Nurse - Case Management in San Luis Obispo, CA

Active since September 21, 2020
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 473-7067 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina Danielle Phipps NPPES

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

TINA DANIELLE PHIPPS (NPI 1356957724) is an individual case management provider in San Luis Obispo, California, licensed in California (725182) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1356957724
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameTINA DANIELLE PHIPPS
Location Address2191 JOHNSON AVESan Luis Obispo, CA 93401-4534
Mailing Address2191 Johnson AveSan Luis Obispo, CA 93401-4534 · (805) 473-7067
Phone(805) 473-7067
Sole ProprietorYes
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 21, 2020
✔ NPI 1356957724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in CA · 725182
2191 JOHNSON AVE, San Luis Obispo, CA 93401
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Other Providers at the Same Location NPPES 20

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

MS. IRENE E. VEGA RN, PHN
Registered Nurse (Administrator)
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-5535
DR. CRAIG M MCMILLAN M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-5519
KRISTINA HORAK
Case Management
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 237-3056
MS. DAPHNE L. BOATRIGHT RN MED
Registered Nurse
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 788-2063
CHRISTINE STOFFEL MULKERIN M.D.
Pediatrics
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-5522
THERESA MARIE ANSELMO RDH
Dental Hygienist
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-5503
ALICE ROSE BODLAK RN
Registered Nurse (Case Management)
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-1744
DR. NAVID FARDANESH D.D.S
Dentist (General Practice)
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-5503

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 Tina Phipps's NPI number?

The NPI number for Tina Phipps is 1356957724. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Tina Phipps located?

Tina Phipps practices at 2191 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 473-7067.

What is Tina Phipps's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Tina Phipps was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.