Active NPI
Phyllis Schilling, RN, CDE
- Diabetes Educator Registered Nurse
- Frederick, MD
National Provider Identifier
1659344935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- R121647
- Practice address
- 5500 Buckeystown Pike
Frederick, MD 21703-8331 - Phone
- (240) 379-6045
- Fax
- (240) 379-6050
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | R121647 | MD | Primary |
Addresses
Primary practice location
5500 Buckeystown Pike
Frederick, MD 21703-8331
Mailing address
PO Box 277045
Atlanta, GA 30384-7045
Phone (240) 379-6045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0992-0628 | Other | MD | CERTIFIED DIABETES ED. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R121647 | MD | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1659344935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277045",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303847045",
"telephone_number": "240-379-6045",
"fax_number": "240-379-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BUCKEYSTOWN PIKE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038331",
"telephone_number": "240-379-6045",
"fax_number": "240-379-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLING",
"first_name": "PHYLLIS",
"credential": "RN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MD",
"license": "R121647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED DIABETES ED.",
"identifier": "0992-0628",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- Melissa Helen Scherrphillips, ATR-BC, LCPAT
- Olga Lapko Schiffman, CRNP
- Nichole E Schildt, MS, CCC-SLP
- Lynne Marie Schill, MPT
- James Arthur Schiller, LCSWC
- Gerrit Schipper, MD
- Michael Todd Schirf, PT, DPT, OCS
- Melissa Lynn Schirle, FNP-C
- Jessica Ellin Schladt, LPC, LCPC, MHC
- Joseph Schlag, M.A., C.C.C.-S.L.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.