MS. PHYLLIS M WOODSON (NPI# 1790753382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790753382 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS M WOODSON |
| Credential | RD |
| Practice Address |
855 W Brambleton Ave Norfolk VA 23510-1005 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7574465908 |
| Practice Fax Number | 7574467055 |
| Mailing Telephone | 7574465908 |
| Mailing Fax Number | 7574467055 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | R37612-2 | VA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA PREMIER HEALTH | PAR | 01 |
| VA | 1790753382 | 05 | |
| VA | UHC/MAMSI | 2116995 | 01 |
| VA | AETNA | PAR | 01 |
| VA | MUTLIPLAN | PAR | 01 |
| VA | CORVEL/CORCARE | PAR | 01 |
| VA | TRICARE/CHAMPUS | -033 | 01 |
| Street Address |
855 W BRAMBLETON AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23510-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316034 | Edward Stephen Buescher | Pediatrics | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2005-06-16 |
| 1942732250 | Shirui Chen | Student in an Organized Health Care Education/Training Program | 855 W Brambleton Ave, Nephrology Fellowship, Norfolk, VA 23510 | 2017-03-28 |
| 1669921649 | Patricia C Hannah | Nurse Practitioner | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2016-10-01 |
| 1649632712 | Elise Stephenson | Student in an Organized Health Care Education/Training Program | 855 W Brambleton Ave, Norfolk, VA 23510 | 2016-03-28 |
| 1548505563 | Kathleen B. Erezo | Nurse Practitioner | 855 W Brambleton Ave, Evms Medical Group, Norfolk, VA 23510-1005 | 2012-12-03 |
| 1750649570 | Aaron Benjamin Nelson | Internal Medicine | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2012-04-30 |
| 1174838916 | Medha Joshi | Internal Medicine | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2010-08-17 |
| 1154553089 | Harpreet S Bhutani | Internal Medicine | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2009-08-11 |
| 1194971606 | Elizabeth S. Dodson | Nurse Practitioner | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2008-08-15 |
| 1104087147 | Laura O Varner | Nurse Practitioner | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2008-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151108 | Brittany Delong | Speech-Language Pathologist | 534 E Olney Road, Norfolk, VA 23510 | 2019-08-30 |
| 1881164366 | Gregory D Newman | Hearing Instrument Specialist | 501 B Bousch St, Norfolk, VA 23510 | 2018-11-28 |
| 1598282998 | Tidewater Hyperbaric | Preventive Medicine | 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 | 2017-08-25 |
| 1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
| 1326499989 | East Coast Family Services | Community/Behavioral Health | 259 Granby St., Norfolk, VA 23510 | 2016-06-24 |
| 1659750529 | Cortney Armitano | Specialist/Technologist | 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 | 2015-05-26 |
| 1285076067 | Abundant Life Therapeutic Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 645 Church St., Suite 104c, Norfolk, VA 23510 | 2013-07-22 |
| 1497196901 | Patricia Ann Richardson | Assisted Living Facility | 101 East Plume Street, 501, Norfolk, VA 23510 | 2013-07-12 |
| 1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
| 1033414941 | Laura Jeanne O'neal | Social Worker | 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 | 2011-01-24 |
| Find all providers in zip 23510 | ||||
| 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 |
|---|---|---|---|---|
| 1336769710 | Madonna Renee Merchant | Dietitian, Registered | 1453 Westover Ave, Norfolk, VA 23507-1027 | 2020-04-25 |
| 1962037531 | Lacey Welch Fraley | Dietitian, Registered | 115 College Pl, Norfolk, VA 23510-1900 | 2020-03-04 |
| 1023558160 | Anna Shannon | Dietitian, Registered | 1506 Colonial Ave, Apt 1, Norfolk, VA 23517-2064 | 2017-03-07 |
| 1649405903 | Elizabeth F. Barge | Dietitian, Registered | 4214 Columbus Ave, Norfolk, VA 23504-1074 | 2009-05-15 |
| 1821253790 | Candece Danyl Hansen | Dietitian, Registered | 710 S 13th St Ste 1200, Norfolk, NE 68701-5606 | 2008-07-21 |
| 1316012925 | Joan A. Davis | Dietitian, Registered | 809 S. 13th Street, Norfolk, NE 68701-3261 | 2006-11-21 |
| 1457370827 | Linda Reynoldson | Dietitian, Registered | 2412 Highland Dr, Norfolk, NE 68701-2367 | 2006-07-18 |
| 1346857919 | Nicholas Rymut | Dietitian, Registered | 115 College Pl, Norfolk, VA 23510-1900 | 2020-09-28 |
| 1083120703 | Eileen Coffman | Dietitian, Registered | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2017-12-18 |
| 1558810796 | Nicole Isabeau Famularo | Dietitian, Registered | 601 Childrens Ln, Diabetes Education Center, Norfolk, VA 23507-1910 | 2016-09-29 |
| Find all providers in NORFOLK | ||||
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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.