MS. CAROL PHILLIPS (NPI# 1235792748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235792748 |
| Entity Type | Individual |
| Full Name | MS. CAROL PHILLIPS |
| Credential | RDN |
| Practice Address |
3900 Woodland Ave Philadelphia PA 19104-4551 |
| Practice Telephone | 2158235800 |
| Mailing Telephone | 2158235800 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445576 | Carol Corbett Phillips | Behavior Technician | 7360 Mcginnis Ferry Rd Ste 100, Johns Creek, GA 30024-6603 | 2020-04-15 |
| 1538589916 | Carol Lucrecia Phillips | Social Worker | 10255 Bassett St, Livonia, MI 48150-2412 | 2014-04-23 |
| 1396981015 | Carol Mary Phillips | Specialist | 1330 Paul Ave, Schenectady, NY 12306-2810 | 2008-12-30 |
| 1114127701 | Carol Lynn Phillips | Dentist | 3046 S Higuera St, Suite C, San Luis Obispo, CA 93401-6622 | 2007-07-20 |
| 1992903868 | Carol Jean Phillips | Chiropractor | 977 Mount Holly Dr, Annapolis, MD 21409-5146 | 2007-07-03 |
| 1497243687 | Carol Jean Phillips | Social Worker | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2018-04-24 |
| 1699937821 | Carol Phillips | Registered Nurse | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2008-06-29 |
| 1376661678 | Carol Ann Phillips | Rehabilitation Practitioner | 1224 Vine St, Sa 4 Navigation Team, Los Angeles, CA 90038 | 2007-03-26 |
| 1710031679 | Carol A Phillips | Obstetrics & Gynecology | 6610 Tributary St, Ste 206, Baltimore, MD 21224-6514 | 2007-01-22 |
| 1386668283 | Carol Ann Phillips | Psychiatry & Neurology | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-07-26 |
| Street Address |
3900 WOODLAND AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389837 | Richard Alsdorf Jr. | Nurse Anesthetist, Certified Registered | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2005-10-12 |
| 1487254744 | Jason Anthony Checchia | Nurse Practitioner | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-27 |
| 1639778327 | Bridget Murray | Physician Assistant | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-22 |
| 1114525367 | Madison Brannon | Emergency Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-10 |
| 1275131526 | Jonathan Mark Riley Jr. | Social Worker | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-09 |
| 1326655812 | Ashley Jill Maister | Pharmacist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-09-28 |
| 1467079103 | Rohit Singla | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1851918585 | Matthew Clayton Mckeeman | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1699392316 | Jooyeon Park | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1205453941 | Lauren Miller | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716685 | Nicole Behner | Dietitian, Registered | 1824 Stanwood St, Philadelphia, PA 19152-2619 | 2020-09-28 |
| 1235743048 | Lauren Davidheiser | Dietitian, Registered | 2212 Almond St, Philadelphia, PA 19125-3605 | 2020-08-31 |
| 1730799222 | Hannah Pfohl | Dietitian, Registered | 1136 N American St Unit 114, Philadelphia, PA 19123-1677 | 2020-08-09 |
| 1851901771 | Laura Michelle Cresta | Dietitian, Registered | 1030 N 2nd St Unit 303, Philadelphia, PA 19123-1595 | 2020-08-05 |
| 1386253318 | Porrazza Nutrition LLC | Dietitian, Registered | 2417 Welsh Rd Ste 21118, Philadelphia, PA 19114-2213 | 2020-07-27 |
| 1326665464 | Michelle Giacometti | Dietitian, Registered | 442 Naomi St, Philadelphia, PA 19128-3618 | 2020-07-05 |
| 1649897026 | Jennifer Andia Warshaw | Dietitian, Registered | 408 Regatta Dr, Philadelphia, PA 19146-5247 | 2020-07-01 |
| 1437774890 | Kylie Anne Mckenzie | Dietitian, Registered | 800 Admirals Way Unit 1841, Philadelphia, PA 19146-5241 | 2020-06-11 |
| 1063049914 | Kaitlyn Marie Willwerth | Dietitian, Registered | 350 S 15th St, Philadelphia, PA 19102-4919 | 2020-03-23 |
| 1134751522 | Anabelle Harari Clebaner | Dietitian, Registered | 9211 Ambassador Pl Fl 2, Philadelphia, PA 19115-4610 | 2020-02-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on MS. CAROL PHILLIPS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.