{"npi":"1174579403","type":"NPI-1","status":"active","name":{"display":"Dr. Kelley Phillips MD","other":[],"first":"KELLEY","last":"PHILLIPS","middle":"J","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"TX","license":"M1293"}]},"addresses":[{"purpose":"LOCATION","street_1":"3500 GASTON AVE","city":"DALLAS","state":"TX","postal_code":"752462096","country_code":"US","phone":"2148202505"},{"purpose":"MAILING","street_1":"4409 VERDE LANE","city":"FRISCO","state":"TX","postal_code":"75034","country_code":"US","phone":"4692872750"}],"license":{"state":"TX","number":"M1293"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"176422707","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"176422708","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"8H4406","state":"TX","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051017000328","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TX","pac_id":"0941226245"}]},"enumeration_date":"2006-05-26","last_updated":"2014-04-16","_meta":{"source":"NPPES","snapshot_date":"2014-04-16","doc_url":"https://findmynpi.com/api"}}