| Diane L Phillips, RD, LD, CDE | |
|
1215 N Beaver St Ste 201, Flagstaff, AZ 86001-3126 | |
| (928) 214-3920 | |
| Not Available |
| Full Name | Diane L Phillips |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1215 N Beaver St Ste 201, Flagstaff, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477654903 | NPI | - | NPPES |
| 000G6686 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 417 (New Mexico) | Primary |
| Provider Name | Santa Fe Indian Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285613836 PECOS PAC ID: 7719883289 Enrollment ID: O20031208000627 |
| Provider Name | San Felipe Health Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831274851 PECOS PAC ID: 8426954819 Enrollment ID: O20031208000761 |
| Provider Name | Santa Clara Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043396377 PECOS PAC ID: 4981591922 Enrollment ID: O20040303000820 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane L Phillips, RD, LD, CDE 1215 N Beaver St Ste 201, Flagstaff, AZ 86001-3126 Ph: (928) 214-3920 | Diane L Phillips, RD, LD, CDE 1215 N Beaver St Ste 201, Flagstaff, AZ 86001-3126 Ph: (928) 214-3920 |
Tanya Lee Morgan Tweed, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2441 | |
Ms. Gayle Marie Baingo, R.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1210 W Davis Way, Flagstaff, AZ 86001 Phone: 928-380-1610 Fax: 928-380-1610 | |
Ms. Robin A Aufdenkampe, MS,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff Medical Center, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Lorraine Damiani Crim, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 718 W Grand Canyon Ave, Flagstaff, AZ 86001 Phone: 928-853-3568 | |
Angela Hansen, RD, IBCLC Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1215 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2200 Fax: 928-773-2300 | |
Heidi Bringhurst, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-606-3916 | |
Brittany Dilley, RDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-773-2084 |