Active NPI
Rita Atwell Phillips, RDH
- Dental Hygienist
- Wytheville, VA
National Provider Identifier
1891042982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 0402003103
- Practice address
- 35 Cove Hills LN
Wytheville, VA 24382-4460 - Phone
- (276) 620-1415
- Fax
- (276) 223-4859
- NPI assigned
- Aug 8, 2012
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 0402003103 | VA | Primary |
Addresses
Primary practice location
35 Cove Hills LN
Wytheville, VA 24382-4460
Mailing address
35 Cove Hills LN
Wytheville, VA 24382-4460
Phone (276) 620-1415
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 |
|---|---|---|---|
| 0402003103 | VA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1891042982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 COVE HILLS LN",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243824460",
"telephone_number": "276-620-1415",
"fax_number": "276-223-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 COVE HILLS LN",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243824460",
"telephone_number": "276-620-1415",
"fax_number": "276-223-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "RITA",
"middle_name": "ATWELL",
"name_prefix": "Dr.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "VA",
"license": "0402003103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.