Kaitlin Marie Fahey Phillips
Physician Assistant, Medical in Whitney, TX. Individual provider (NPI-1).
NPI number1982258414
StatusActive
Last updated in NPPESSep 8, 2021
Details
- NPI
- 1982258414
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Marie Fahey Phillips
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2019
- Certification date
- Sep 8, 2021
- Last updated
- Sep 8, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA12695 | TX | Yes |
Practice location
202 E Jefferson AveWhitney, TX 76692-2398
Phone 254-694-2221 · Fax 254-694-9978
Mailing address
202 E Jefferson AveWhitney, TX 76692-2398
Phone 254-694-2221 · Fax 254-694-9978
Other practice locations
201 Posey Ave
Clifton, TX 76634-1200
Clifton, TX 76634-1200
Phone 254-675-8621 · Fax 254-675-2254
759 S Main St
Woodstock, VA 22664-1154
Woodstock, VA 22664-1154
Phone 540-459-1383
9166 N Congress St
New Market, VA 22844-9422
New Market, VA 22844-9422
Phone 540-459-1340
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Whitney, TX
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