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MS. PHYLLIS M WOODSON RD NPI 1790753382


NPI Information

NPI: 1790753382
Provider Name: MS. PHYLLIS M WOODSON, RD
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
855 W BRAMBLETON AVE
NORFOLK, VA
ZIP 23510
Phone: (757) 446-5908
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MS. Phyllis M Woodson, RD is a dietitian registered in Norfolk, VA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MS. Phyllis M Woodson, RD NPI is 1790753382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 W BRAMBLETON AVE
NORFOLK, VA
ZIP 23510-005
Phone: (757) 446-5908
Fax: (757) 446-7055

The enumeration date for this NPI number is 3/9/2006 and was last updated on 8/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredR37612-2VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00105251MEDICARE PINVIRGINIA
2PAROTHERVIRGINIACORVEL/CORCARE
31790753382MEDICAIDVIRGINIA
4PAROTHERVIRGINIAAETNA
5-033OTHERVIRGINIATRICARE/CHAMPUS
6PAROTHERVIRGINIAVIRGINIA PREMIER HEALTH
7PAROTHERVIRGINIAMUTLIPLAN
8P62225MEDICARE UPINVIRGINIA
92116995OTHERVIRGINIAUHC/MAMSI
10710000027MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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