Active NPI
Esther Elizabeth Phillips-Dwyer, B.S., M. S., J.D.
- Student in an Organized Health Care Education/Training Program
- Palm Bay, FL
National Provider Identifier
1972858637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 779750
- Practice address
- 1391 Sagola St SE
Palm Bay, FL 32909-5110 - Phone
- (321) 373-1262
- NPI assigned
- Jul 18, 2012
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 779750 | FL | Primary |
Addresses
Primary practice location
1391 Sagola St SE
Palm Bay, FL 32909-5110
Mailing address
PO Box 101277
Palm Bay, FL 32910-1277
Phone (321) 373-1262
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
- Bachelor of Science, Juris Doctor, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 779750 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1972858637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101277",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329101277",
"telephone_number": "321-373-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1391 SAGOLA ST SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329095110",
"telephone_number": "321-373-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS-DWYER",
"first_name": "ESTHER",
"middle_name": "ELIZABETH",
"credential": "B.S., M. S., J.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "779750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.