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PHYLLIS A WAKELAND PNP
NPI 1922204486
Nurse Practitioner - Pediatrics in Fort Worth, TX

Active since June 22, 2007
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-7960(682) 885-1327 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phyllis A Wakeland Pnp NPPES

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

PHYLLIS A WAKELAND PNP (NPI 1922204486) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (514228) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1922204486
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NamePHYLLIS A WAKELANDCredential: PNP
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 99371Fort Worth, TX 76199-0371 · (682) 885-1855 · Fax (682) 885-7347
Phone(682) 885-7960
Fax(682) 885-1327
Sole ProprietorNo
Enumeration DateJune 22, 2007
Last NPPES UpdateAugust 31, 2016
✔ NPI 1922204486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 514228
1500 COOPER ST, Fort Worth, TX 76104
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Other Identifiers 7

Medicaid062625103TX
Medicaid150220509TX
Medicaid062625101TX
Medicaid150220508TX
Medicaid062625102TX
Medicare PIN8L12919
Medicare PIN00257T

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.

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299

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 Phyllis Wakeland's NPI number?

The NPI number for Phyllis Wakeland is 1922204486. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Phyllis Wakeland located?

Phyllis Wakeland practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-7960.

What is Phyllis Wakeland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Phyllis Wakeland was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.