Active NPI
Ernestine NMN Phillips, R,D,LD
- Registered Dietitian
- Oak Hill, WV
National Provider Identifier
1902122955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 141
- Practice address
- 1026 Jones Ave
Oak Hill, WV 25901-2056 - Phone
- (304) 469-7356
- Fax
- (304) 250-7014
- NPI assigned
- Apr 15, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 141 | WV | Primary |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 141 | WV |
Addresses
Primary practice location
1026 Jones Ave
Oak Hill, WV 25901-2056
Mailing address
1026 Jones Ave
Oak Hill, WV 25901-2056
Phone (304) 469-7356
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 |
|---|---|---|---|
| 141 | WV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1902122955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 JONES AVE",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012056",
"telephone_number": "304-469-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 JONES AVE",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012056",
"telephone_number": "304-469-7356",
"fax_number": "304-250-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ERNESTINE",
"middle_name": "NMN",
"name_prefix": "Miss",
"credential": "R,D,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "141",
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "WV",
"license": "141",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.