Cheryl Amanda Phillips, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1774 Issued in AR

Practice address

521 Jack Stephens Dr
Little Rock, AR 72205-5524

Phone

(501) 686-6560

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cheryl Amanda Creger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1992367122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15401 CHENAL PKWY APT 4416",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112585",
            "telephone_number": "479-445-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 JACK STEPHENS DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055524",
            "telephone_number": "501-686-6560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15401 Chenal Pkwy Apt 4416",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722112585",
            "country_code": "US",
            "telephone_number": "479-445-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHERYL",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "CREGER",
            "middle_name": "AMANDA",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Margaret Phillips, MD
• Ashlyn Elizabeth Phillips
• Blake Phillips, M.D.
• Carrie Helen Phillips, ARNP-C
• Charles Edgar Phillips, M.D.
• Dana Lynn Phillips, APN
• Dennis Phillips
• Douglas Brent Phillips, ATC
• Edward J Phillips, CYC, CIT-HS-00158
• Emilee Erin Phillips, MS, RD, LD

• Registered Dietitian in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.