Active NPI
Judy Phillips, MS,RD,LDN
- Nutritionist
- Boston, MA
National Provider Identifier
1669524922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 205
- Practice address
- 1601 Washington Street
Boston, MA 02118 - Phone
- (617) 425-2040
- Fax
- (617) 425-2023
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 205 | MA | Primary |
Addresses
Primary practice location
1601 Washington Street
Boston, MA 02118
Mailing address
133 Sunset Road
Arlington, MA 02474
Phone (781) 641-1138
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669524922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 SUNSET ROAD",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "02474",
"telephone_number": "781-641-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WASHINGTON STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-425-2040",
"fax_number": "617-425-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JUDY",
"credential": "MS,RD,LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MA",
"license": "205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- 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.