Organization Active NPI

Sandy R. Wyers, LLC

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1194262584
Registry record updated Jun 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT82734 Issued in TX
Legal business name
SANDY R. WYERS, LLC
Practice address
912 Banyon St Unit B
Austin, TX 78757-1506
Phone
(512) 878-0464
NPI assigned
Jan 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2022

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

Authorized official

Name
Sandra R Wyers, RDNPI 1841577608
Title
Owner/Ceo
Phone
(512) 643-3761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT82734 TX Primary

Addresses

Primary practice location

912 Banyon St Unit B
Austin, TX 78757-1506

Mailing address

912 Banyon St Unit B
Austin, TX 78757-1506
Phone (512) 643-3761

Other names 1

  • Sandy Wyers Nutrition & Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655596800000",
    "number": "1194262584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 BANYON ST UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571506",
            "telephone_number": "512-643-3761",
            "fax_number": "737-282-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 BANYON ST UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571506",
            "telephone_number": "512-878-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY R. WYERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A",
        "authorized_official_last_name": "WYERS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "512-643-3761",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Wyers Nutrition & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.