Active NPI
Jennifer Phillippi, MS, RD, LD
- Registered Dietitian
- Waco, TX
National Provider Identifier
1922465061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT83911
- Practice address
- 110 S 12TH St
Waco, TX 76701-1810 - Phone
- (254) 752-3451
- Fax
- (254) 756-3133
- NPI assigned
- Jan 20, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT83911 | TX | Primary |
Addresses
Primary practice location
110 S 12TH St
Waco, TX 76701-1810
Mailing address
3001 S New Rd Apt 11108
Waco, TX 76706-3853
Phone (803) 493-5129
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT83911 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1922465061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 S NEW RD APT 11108",
"city": "WACO",
"state": "TX",
"postal_code": "767063853",
"telephone_number": "803-493-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S 12TH ST",
"city": "WACO",
"state": "TX",
"postal_code": "767011810",
"telephone_number": "254-752-3451",
"fax_number": "254-756-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPPI",
"first_name": "JENNIFER",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.