Individual provider 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
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
779750 Issued in FL
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

Updated by the provider on Jul 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
779750FLMDStudent 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.

Verify at the official NPI Registry.