Active NPI
Neily Louise Wheeler, LICENSED DIETICIAN
- Registered Dietitian
- Tyler, TX
National Provider Identifier
1033411269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81792
- Practice address
- 910 E Houston St Ste 550
Tyler, TX 75702-8366 - Phone
- (903) 592-7393
- Fax
- (903) 597-7538
- NPI assigned
- Nov 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT81792 | TX | Primary |
Addresses
Primary practice location
910 E Houston St Ste 550
Tyler, TX 75702-8366
Mailing address
PO Box 5500
Tyler, TX 75712-5500
Phone (903) 324-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220527001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81792 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1033411269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5500",
"city": "TYLER",
"state": "TX",
"postal_code": "757125500",
"telephone_number": "903-324-6400",
"fax_number": "903-593-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E HOUSTON ST STE 550",
"city": "TYLER",
"state": "TX",
"postal_code": "757028366",
"telephone_number": "903-592-7393",
"fax_number": "903-597-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "NEILY",
"middle_name": "LOUISE",
"credential": "LICENSED DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-19",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220527001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.