Stephanie L Nyberg, MS RDN LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86523 Issued in TX

Practice address

9823 N P St
La Porte, TX 77571-9425

Phone

(270) 875-5528

NPI assigned

Nov 9, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stephanie L Beacham Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Harris Center for Mental Health and Idd

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1346293156
  Medicare reassignment
• Mobile Medical Consultants, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1346839859
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1083322903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9823 N P ST",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775719425",
            "telephone_number": "270-875-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9823 N P ST",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775719425",
            "telephone_number": "270-875-5528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "MS RDN LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BEACHAM",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terry S. Newman, MD
• Nexion Health at Bay Ridge, Inc.
• Angelique Dede Norris, RPH
• Northland Hearing Centers, Inc
• Schola Amoge Nwachukwu, M.D
• Occupational Health Centers of the Southwest P.a.
• Occupational Medicine of la Porte P.a.
• Oculus Interest VI, LLC
• Agnes U Ololo, FNP
• Cynthia Shelise Omauzo, PHARMD

• Registered Dietitian in La Porte, TX
• Providers in La Porte, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.