Organization Active NPI

Sue V Phillips DC PLLC

  • Nutrition Chiropractor
  • Twin Falls, ID
National Provider Identifier
1124280045
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
SUE V PHILLIPS DC PLLC
Practice address
1625 Addison Ave E
Twin Falls, ID 83301-5343
Phone
(208) 735-2442
Fax
(208) 735-9030
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sue V Phillips, DC
Title
Dr/Owner
Phone
(208) 735-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X Primary

Addresses

Primary practice location

1625 Addison Ave E
Twin Falls, ID 83301-5343

Mailing address

1625 Addison Ave E
Twin Falls, ID 83301-5343
Phone (208) 735-2442

National Provider Directory

National Provider Directory

Locations

1625 Addison Ave E
Twin Falls, ID 83301
Phone (208) 735-2442

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1124280045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ADDISON AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015343",
            "telephone_number": "208-735-2442",
            "fax_number": "208-735-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ADDISON AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015343",
            "telephone_number": "208-735-2442",
            "fax_number": "208-735-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE V PHILLIPS DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "208-735-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.