Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Ladawn Phillips, FNP-C

Individual provider Family Nurse Practitioner · NPI 1801378641

Tara Ladawn Phillips, FNP-C is a Nurse Practitioner in Wake Village, Texas. Qualified in 2018, 8 years ago. Practices with Total Wound Care of Oklahoma LLC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas, Oklahoma and Texas.

Years since qualifying
8
Licensed in
AR, OK, TX
In the registry since
2018
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

4701 W 7th St
Wake Village, TX 75501-6255
Phone: (903) 831-4065
Fax: (903) 831-4075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1052397 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 225755 (AR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R0113302 (OK)

Record details

NPI number1801378641
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 29, 2018
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Total Wound Care Of Oklahoma Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Wake Village