Amy Phillips-Waldroop
Dietitian, Registered • Broken Arrow, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amy Phillips-Waldroop has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Amy Phillips-Waldroop was a registered Dietitian, Registered practicing in Broken Arrow, OK. Throughout an active medical career spanning 5 years, Amy Phillips-Waldroop provided care at the practice location at 4900 S REDBUD AVE until profile deactivation on 2019-04-26.
Practice Location & Contact Primary Location
4900 S Redbud Ave
Broken Arrow, OK 740114263
Specialty Benchmarks & Practice Insights
Comparative analytics for Dietitian, Registered in Broken Arrow, OK
Practicing in Broken Arrow, OK (958 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 133V00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 26, 2019
NPI status registered as active in NPPES database
Registered at 4900 S REDBUD AVE, BROKEN ARROW, OK 740114263 (Tel: 9184069718)
Registered at 4900 S REDBUD AVE, BROKEN ARROW, OK 740114263 (Tel: 9184069718)
Recorded as AMY PHILLIPS-WALDROOP
Dietitian, Registered (License #874 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4900 S Redbud Ave
Broken Arrow, OK 740114263
Phone: 9184069718
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