Victoria St Philip

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

908377 Issued in MS

Practice address

301 Fisher St
Biloxi, MS 39534-2508

Phone

(228) 376-3769

NPI assigned

Feb 4, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1508670241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PHILIP",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MS",
            "license": "908377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southerncare, Inc.
• Terry Lee Sovinsky, M.S.W.
• Shawn Patrick Sparks, A.T.C.
• Regina Fowler Spiers, P-LPC
• Jeri Hughes Squyres, LCSW
• Maegan St. Amant, OTR/L
• St. Vincent de Paul Community Pharmacy, Inc.
• Hailey Stabinsky, PHARMD
• Cameron Jaymar Stallworth, LPTA
• Gordon Lee Stanfield, PH.D.

• Diabetes Educator Registered Nurse in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Diabetes Educator Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.