Active NPI
Colette Nichole Pester-Phillips, RD, LDN
- Registered Dietitian
- Bryn Mawr, PA
National Provider Identifier
1841218047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 003476
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003476 | PA | MD | Registered 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.