Deborah Ann Phillips, MS, LDN, CHES

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1610 Issued in MA

Practice address

168 Main St
Pediatric Development Center
Great Barrington, MA 01230-1618

Phone

(413) 637-8921

Fax

(413) 644-0039

NPI assigned

May 14, 2007

Last updated

Jan 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inglis Wellness Clinic PLLC

  • Internal Medicine Physician
  • Great Barrington, MA
  • NPI 1821221268
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1174738819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIGHLAND DR",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301537",
            "telephone_number": "413-528-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MAIN ST",
            "address_2": "PEDIATRIC DEVELOPMENT CENTER",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301618",
            "telephone_number": "413-637-8921",
            "fax_number": "413-644-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "MS, LDN, CHES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Patterson, M.D.
• PDC South
• Ellen Pearson
• Victor J Petrella, RNCS
• Natallia Petrushenka
• Lillian Kate Piemont, PHARMD
• Price Chopper Operating Co of Mass Inc (Price Chopper Pharmacy)
• Maureen Pryjma, LICSW
• Bridget Quinndicarlo, PTA
• Jose Mauricio Quizhpi

• Nutritionist in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Nutritionist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.