Diane L. Phillips, RD, LD, CDE
NPI 1477654903ActiveIndividual· Dietitian, Registered· Flagstaff, AZ
Dietitian, Registered (RD, LD, CDE) with Santa Fe Indian Hospital, practicing in Flagstaff, Arizona. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1477654903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, LD, CDE |
| Sole proprietor | No |
| NPI issued | Sep 26, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 417 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Santa Fe Indian HospitalSanta Fe, NM · 20 clinicians
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All 48 registered dietitians in Flagstaff · All registered dietitians in Arizona