Bobbi Kay Philips, DI

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

714446 Issued in WA

Practice address

1141 Beach Dr E
Port Orchard, WA 98366-4937

Phone

(360) 895-4710

Fax

(360) 895-4453

NPI assigned

Jul 31, 2006

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

• Bobbi Kay Sunderland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619983939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 BEACH DR E",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664937",
            "telephone_number": "360-895-4710",
            "fax_number": "360-895-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 BEACH DR E",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664937",
            "telephone_number": "360-895-4710",
            "fax_number": "360-895-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPS",
        "first_name": "BOBBI",
        "middle_name": "KAY",
        "credential": "DI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "714446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBI",
            "last_name": "SUNDERLAND",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian James Petrich, LMT
• Dennis James Petrie, RN
• Reanna Pettigrew, RBT
• Ashley Pettyjohn, PTA
• Kelly Pham, PHARMD
• Diane Lynn Phillips, ED.D.
• Michaela Phillips, RDN
• Physiotherapy Associates, Inc.
• Scean Pickering
• Patti Jean Pilch, LMP

• Registered Dietitian in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.