Barbara Jo Pichon, RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

139 Issued in AK

Practice address

9500 Independence Dr
Suite 900
Anchorage, AK 99507-4615

Phone

(907) 522-1341

Fax

(907) 522-1343

NPI assigned

Dec 8, 2008

Last updated

Dec 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Barbara Jo Wallis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fdbc9673-c618-4425-b458-9d4512be1bb3/

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.

• Independence Park Medical Services Inc

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1366435273
  NPD (past)

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1376788174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 INDEPENDENCE DR",
            "address_2": "SUITE 900",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074615",
            "telephone_number": "907-522-1341",
            "fax_number": "907-522-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 INDEPENDENCE DR",
            "address_2": "SUITE 900",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074615",
            "telephone_number": "907-522-1341",
            "fax_number": "907-522-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHON",
        "first_name": "BARBARA",
        "middle_name": "JO",
        "credential": "RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "WALLIS",
            "middle_name": "JO",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily Claire Phipps, PHARM.D.
• Susan L. Phipps
• Physician Associates LLC
• Kendra Piaskowski
• Madai Rosa Pichardo
• David Pickard
• Brittany Pickens
• Brian Keith Pickett Jr.
• Crystal Pickett
• Sha'Mia Pickney

• Registered Dietitian in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Registered Dietitian in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.