Active NPI
Michael Difilippo, MS, RD, LD
- Registered Dietitian
- Anchorage, AK
National Provider Identifier
1972939940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 251
- Practice address
- 1500 W Benson Blvd
Anchorage, AK 99503-3656 - Phone
- (907) 297-7350
- NPI assigned
- Sep 22, 2013
- Last updated
- Sep 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 251 | AK | Primary |
Addresses
Primary practice location
1500 W Benson Blvd
Anchorage, AK 99503-3656
Mailing address
3320 Caress Cir
Anchorage, AK 99507-2717
Phone (907) 347-4453
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 |
|---|---|---|---|
| 251 | AK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379808000000",
"number": "1972939940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 CARESS CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995072717",
"telephone_number": "907-347-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W BENSON BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033656",
"telephone_number": "907-297-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIFILIPPO",
"first_name": "MICHAEL",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-22",
"last_updated": "2013-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.