Active NPI
Win U Care for Health
- Registered Dietetic Technician
- Godfrey, IL
National Provider Identifier
1962767038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietetic Technician
- Legal business name
- WIN U CARE FOR HEALTH
- Practice address
- 321 Big Arch Rd.
Godfrey, IL 62035 - Phone
- (618) 741-8012
- Fax
- (618) 374-6297
- NPI assigned
- Jul 5, 2012
- Organization subpart
- Yes
- Parent organization
- JULIA L PHILLIPS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julia Lynn Phillips, REGISTERED
- Title
- Dietechnisian
- Phone
- (618) 741-8012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietetic Technician | 136A00000X | Primary |
Addresses
Primary practice location
321 Big Arch Rd.
Godfrey, IL 62035
Mailing address
321 Big Arch Rd
Godfrey, IL 62035
Phone (618) 741-8012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790049831 | Medicaid | IL |
Other names 1
- win u care for health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469664000000",
"number": "1962767038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 BIG ARCH RD",
"city": "GODFREY",
"state": "IL",
"postal_code": "62035",
"telephone_number": "618-741-8012",
"fax_number": "618-374-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 BIG ARCH RD.",
"city": "GODFREY",
"state": "IL",
"postal_code": "62035",
"telephone_number": "618-741-8012",
"fax_number": "618-374-6297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIN U CARE FOR HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JULIA L PHILLIPS",
"enumeration_date": "2012-07-05",
"last_updated": "2016-07-28",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "DIETECHNISIAN",
"authorized_official_telephone_number": "618-741-8012",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED"
},
"taxonomies": [
{
"code": "136A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietetic Technician, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790049831",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "win u care for health",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Godfrey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.