Active NPI
Tyler Reinhart, CC, RDN, LDN
- Registered Dietitian
- Southbridge, MA
National Provider Identifier
1104295179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3862
- Practice address
- 100 South St
Southbridge, MA 01550-4051 - Phone
- (508) 765-9771
- Fax
- (508) 764-2460
- NPI assigned
- Sep 21, 2015
- Sex
- Male
- 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 | 3862 | MA | Primary |
Addresses
Primary practice location
100 South St
Southbridge, MA 01550-4051
Mailing address
PO Box 40
Southbridge, MA 01550-0040
Phone (508) 765-9771
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1104295179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015500040",
"telephone_number": "508-765-9771",
"fax_number": "508-764-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504051",
"telephone_number": "508-765-9771",
"fax_number": "508-764-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINHART",
"first_name": "TYLER",
"credential": "CC, RDN, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southbridge, MA
- Jennifer Ray, DEV. SPECIALIST
- Allison Doreen Read, RN, PMHNP-BC
- Jennifer Colello Reed, LCSW
- Reflections Behavioral Counseling
- Yasser Rehman, M.D.
- Paulette Remijan, APN-BC
- Renaissance Medical Aesthetics
- Renaissance Medical Group, LLC (Renaissance Medical Group)
- Renaissance Primary Care, LLC
- Tina Irene Render, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.