PHS JOSLIN DIABETES CENTER DP110
NPI 1881859817
Dietitian, Registered in Washington, DC

Active since July 18, 2008
1160 VARNUM ST NE, DEPAUL 110, WASHINGTON, DC 20017(202) 854-7123(202) 854-4854 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phs Joslin Diabetes Center Dp110 NPPES

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

PHS JOSLIN DIABETES CENTER DP110 (NPI 1881859817) is a healthcare organization registered as a dietitian, registered in Washington, District Of Columbia and active in the NPI registry since July 2008. The organization lists Beau Higginbotham, Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1881859817
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NamePHS PROVIDENCE DIABETES AND NUTRITION CENTER
Location Address1160 VARNUM ST NE, DEPAUL 110Washington, DC 20017-2107
Mailing Address1160 Varnum St Ne, St. Catherine's Hall, Room 102Washington, DC 20017-2107 · (202) 854-4069 · Fax (202) 854-7825
Fax(202) 854-4854
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothamVice President/coo · (410) 368-3162
Enumeration DateJuly 18, 2008
Last NPPES UpdateOctober 9, 2017
NPI 1881859817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in DC · HFD01-0212
Definition

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.

Also ListedSurgeryTaxonomy 208600000X · License HFD01-0212 (DC)
1160 VARNUM ST NE, Washington, DC 20017

Other Names 1

Other NamePhs Joslin Diabetes Center Dp110

Other Identifiers 1

Medicaid463400400MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1160 VARNUM ST NE, 312
WASHINGTON, DC 20017
Orthopaedic Surgery
1160 VARNUM ST NE, SUITE 312
WASHINGTON, DC 20017
Surgery
1160 VARNUM ST NE, SUITE 300-B
WASHINGTON, DC 20017
Internal Medicine (Cardiovascular Disease)
1160 VARNUM ST NE, #100
WASHINGTON, DC 20017
Internal Medicine (Gastroenterology)
1160 VARNUM ST NE, #218
WASHINGTON, DC 20017
Allergy & Immunology
1160 VARNUM ST NE, SUITE008
WASHINGTON, DC 20017
Internal Medicine
1160 VARNUM ST NE, SUITE 008
WASHINGTON, DC 20017
Psychiatry & Neurology (Neurology)
1160 VARNUM ST NE, SUITE 204
WASHINGTON, DC 20017
Internal Medicine (Gastroenterology)
1160 VARNUM ST NE, 311
WASHINGTON, DC 20017
Internal Medicine (Gastroenterology)
1160 VARNUM ST NE, 311
WASHINGTON, DC 20017
Internal Medicine
1160 VARNUM ST NE, SUITE 317
WASHINGTON, DC 20017
Family Medicine (Geriatric Medicine)
1160 VARNUM ST NE
WASHINGTON, DC 20017
Nurse Practitioner (Gerontology)
1160 VARNUM ST NE
WASHINGTON, DC 20017
Podiatrist (Foot Surgery)
1160 VARNUM ST NE, 012
WASHINGTON, DC 20017
Internal Medicine (Geriatric Medicine)
1160 VARNUM ST NE, #311
WASHINGTON, DC 20017
Internal Medicine (Cardiovascular Disease)
1160 VARNUM ST NE, SUITE 314
WASHINGTON, DC 20017
Internal Medicine (Pulmonary Disease)
1160 VARNUM ST NE, SUITE 214
WASHINGTON, DC 20017
Internal Medicine (Nephrology)
1160 VARNUM ST NE, SUITE 16
WASHINGTON, DC 20017
Internal Medicine (Pulmonary Disease)
1160 VARNUM ST NE, #214
WASHINGTON, DC 20017
Clinic/Center (Rehabilitation)
1160 VARNUM ST NE, SUITE 1008
WASHINGTON, DC 20017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881859817, enumerated as an "organization" on July 18, 2008.

The provider is located at 1160 VARNUM ST NE DEPAUL 110 WASHINGTON, DC 20017 and the phone number is (202) 854-7123.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.