Individual provider Active NPI

Colette Nichole Pester-Phillips, RD, LDN

  • Registered Dietitian
  • Bryn Mawr, PA
National Provider Identifier
1841218047
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
003476 Issued in PA
Practice address
825 Old Lancaster Rd Ste 360
Bryn Mawr, PA 19010-3238
Phone
(484) 380-2885
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 003476 PA Primary

Addresses

Primary practice location

825 Old Lancaster Rd Ste 360
Bryn Mawr, PA 19010-3238

Mailing address

500 Buttonwood Dr
Downingtown, PA 19335-4104
Phone (610) 241-2492

Other practice location 1

805 Locust St
Nsim
Philadelphia, PA 19107-5507
Phone (215) 440-8681

Other names 1

  • Colette Nichole Pester Former name

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

State licenses

LicenseStateTypeSpecialty
003476PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841218047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BUTTONWOOD DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354104",
            "telephone_number": "610-241-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 360",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103238",
            "telephone_number": "484-380-2885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Locust St",
            "address_2": "NSIM",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075507",
            "country_code": "US",
            "telephone_number": "215-440-8681",
            "fax_number": "215-440-9953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESTER-PHILLIPS",
        "first_name": "COLETTE",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "003476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLETTE",
            "last_name": "PESTER",
            "middle_name": "NICHOLE",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.