Individual provider Active NPI

Wendy Lopez, RD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1114323672
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86021832 Issued in NY
Practice address
7600 Chevy Chase Dr Ste 300
Austin, TX 78752-1599
Phone
(415) 651-4333
Fax
(844) 572-0001
NPI assigned
Nov 11, 2014
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86021832 NY Primary

Addresses

Primary practice location

7600 Chevy Chase Dr Ste 300
Austin, TX 78752-1599

Mailing address

1005 E 174TH St Apt 10B
Bronx, NY 10460-5211
Phone (718) 542-4084

Other practice location 1

1005 E 174th St Apt 10B
Bronx, NY 10460-5211
Phone (718) 542-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205000600 NY Practitioner - Registered Dietitian Or Nutrition Professional 6103120530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008553NYMDMental Health Counselor
86021832NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1114323672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E 174TH ST APT 10B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605211",
            "telephone_number": "718-542-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CHEVY CHASE DR STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521599",
            "telephone_number": "415-651-4333",
            "fax_number": "844-572-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 E 174th St Apt 10B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104605211",
            "country_code": "US",
            "telephone_number": "718-542-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "WENDY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86021832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.