MS. JULIA LYNN PHILLIPS (NPI# 1790049831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790049831 |
| Entity Type | Individual |
| Full Name | MS. JULIA LYNN PHILLIPS |
| Other Name | MS. JULIA LYNN PHILLIPS |
| Credential | REGISTERED |
| Practice Address |
321 Big Arch Rd Godfrey IL 62035 |
| Practice Telephone | 6189735832 |
| Practice Fax Number | 6184331556 |
| Mailing Telephone | 6189735832 |
| Mailing Fax Number | 6184331556 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263259 | Julia L Phillips | Specialist/Technologist | 685 Linden Dr, Englewood, FL 34223-7131 | 2020-04-10 |
| 1093074635 | Julia Jan Phillips | Specialist | 5207 Sw 91st Ter, Gainesville, FL 32608-7125 | 2012-05-15 |
| 1962781641 | Julia Froeb Phillips | Speech-Language Pathologist | 3444 S Florence Pl, Tulsa, OK 74105-2912 | 2011-08-11 |
| 1629119870 | Julia May Phillips | Counselor | 1500 S Beretania St, Suite 105, Honolulu, HI 96826-1932 | 2007-02-09 |
| 1316091952 | Julia Aretha Phillips | Counselor | 537 Se Alder St, Portland, OR 97214-2231 | 2007-01-22 |
| 1396353611 | Julia Phillips | Behavior Technician | 44933 George Washington Blvd Ste 110, Ashburn, VA 20147-6301 | 2020-07-22 |
| 1417595448 | Julia Marie Phillips | Behavior Technician | 4750 Collegiate Dr, Panama City, FL 32405-1000 | 2019-12-20 |
| 1720341779 | Julia Kathryn Phillips | Obstetrics & Gynecology | 456 N New Ballas Rd, Suite 386, Saint Louis, MO 63141-6831 | 2012-06-23 |
| 1750688214 | Julia Viselli Phillips | Nurse Practitioner | 619 19th St S, Birmingham, AL 35233-1900 | 2011-02-18 |
| 1164610788 | Julia Angela Phillips | Specialist | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2007-10-09 |
| Street Address |
321 BIG ARCH RD |
| City | GODFREY |
| State | IL |
| Zip Code | 62035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548775109 | Bethany E Huelskoetter | Nurse Practitioner | 6702 Godfrey Road, Godfrey, IL 62035 | 2017-12-05 |
| 1720448806 | Sarah Gieszelmann | Nurse Practitioner | 5520 Godfrey Rd Ste B, Godfrey, IL 62035 | 2016-03-02 |
| 1629457536 | Callie Ann Feldman | Occupational Therapy Assistant | 1373 D'adrian Professional Park, Godfrey, IL 62035 | 2015-05-26 |
| 1962767038 | Win U Care for Health | Dietetic Technician, Registered | 321 Big Arch Rd., Godfrey, IL 62035 | 2012-07-05 |
| 1578729810 | Home and Environments for Living and Programs | Intermediate Care Facility, Mentally Retarded | 110 N Alby Court, Godfrey, IL 62035 | 2008-08-06 |
| 1497960777 | Joanne T Schulmeister | Dentist | 1203 West Delmar, Godfrey, IL 62035 | 2007-05-11 |
| 1760522965 | Lori Behrens | Social Worker | 5090 Humbert Road, Godfrey, IL 62035 | 2007-02-07 |
| 1699868257 | Beverly Enterprises - Illinois, Inc. | Skilled Nursing Facility | 1623 W. Delmar, #29, Godfrey, IL 62035 | 2006-10-02 |
| 1326147802 | Kymberly Barnard | Speech-Language Pathologist | 6501 Timber Ridge Ln, Godfrey, IL 62035 | 2006-09-21 |
| 1588102339 | Sarah Margaret Herrin | Occupational Therapy Assistant | 1373 D'adrian Professional Park, Godfrey, IL 62035 | 2017-02-01 |
| Find all providers in zip 62035 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962767038 | Win U Care for Health | Dietetic Technician, Registered | 321 Big Arch Rd., Godfrey, IL 62035 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922631316 | Altaira Gil | Dietetic Technician, Registered | 3824 W 69th St, Chicago, IL 60629-4206 | 2020-02-13 |
| 1376157479 | Adriana Bueno | Dietetic Technician, Registered | 225 E Chicago Ave # 59, Chicago, IL 60611-2991 | 2020-09-04 |
| 1669085973 | Octavia Lindsey | Dietetic Technician, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-26 |
| 1891123832 | Beloved Community Family Wellness Ctr | Dietetic Technician, Registered | 6821 S Halsted St, Chicago, IL 60621-1833 | 2013-10-30 |
| 1043312960 | Willie Mae Jackson | Dietetic Technician, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-09-01 |
| 1174530331 | Doris Jean Marshall | Dietetic Technician, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-08-01 |
| 1639186877 | Valerie Letease Carr | Dietetic Technician, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-08-01 |
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| 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.