Active NPI
Philip Webb, RD
- Registered Dietitian
- Tyndall Afb, FL
National Provider Identifier
1659748614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004695
- Practice address
- 325TH Medical Group
340 Magnolia Circle
Tyndall Afb, FL 32403 - Phone
- (850) 283-7491
- NPI assigned
- Aug 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004695 | NC | Primary |
Addresses
Primary practice location
325TH Medical Group
340 Magnolia Circle
Tyndall Afb, FL 32403
Mailing address
325TH Medical Group
340 Magnolia Circle
Tyndall Afb, FL 32403
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004695 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1659748614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325TH MEDICAL GROUP",
"address_2": "340 MAGNOLIA CIRCLE",
"city": "TYNDALL AFB",
"state": "FL",
"postal_code": "32403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325TH MEDICAL GROUP",
"address_2": "340 MAGNOLIA CIRCLE",
"city": "TYNDALL AFB",
"state": "FL",
"postal_code": "32403",
"telephone_number": "850-283-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "PHILIP",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-26",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyndall Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.