MS. SUSAN K PHILLIP NDTR
NPI 1225592736
Dietetic Technician, Registered in Dorchester, MA

Active since January 29, 2019
67 GLENDALE ST, DORCHESTER, MA 02125(617) 233-4950 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2019, Jan 29, 2019 (2 updates tracked since 2019).

About Ms. Susan K Phillip Ndtr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN K PHILLIP NDTR (NPI 1225592736) is an individual dietetic technician, registered in Dorchester, Massachusetts, licensed in (1018812) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1225592736
Entity TypeIndividualFemale
Primary Taxonomy136A00000X
Provider Legal NameMS. SUSAN K PHILLIPCredential: NDTR
Location Address67 GLENDALE STDorchester, MA 02125-2404
Mailing Address67 Glendale StDorchester, MA 02125-2404 · (617) 233-4950
Sole ProprietorYes
Enumeration DateJanuary 29, 2019
Last NPPES UpdateMarch 18, 20192 updates tracked since enumeration
NPI 1225592736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDietetic Technician, RegisteredDietary & Nutritional Service Providers
Taxonomy Code136A00000X
License Licensed · 1018812
Definition

A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedHealth EducatorTaxonomy 174H00000X
67 GLENDALE ST, Dorchester, MA 02125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Phillip's NPI number?

The NPI number for Susan Phillip is 1225592736. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Susan Phillip located?

Susan Phillip practices at 67 Glendale St, Dorchester, MA 02125. The listed phone number is (617) 233-4950.

What is Susan Phillip's specialty?

The primary specialty registered for this NPI is Dietetic Technician, Registered with taxonomy code 136A00000X.

When was this NPI record last updated?

The NPPES record for Susan Phillip was last updated on March 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.