Taylor Wilson, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86120013 Issued in NJ

Practice address

6 Glenwood PL
Spring Lake, NJ 07762-1618

Phone

(856) 304-3134

NPI assigned

Sep 23, 2020

Last updated

Jan 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Taylor Wilson Nutrition & Performance LLC

  • Registered Dietitian
  • Spring Lake, NJ
  • NPI 1245043058

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1215543343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GLENWOOD PL",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621618",
            "telephone_number": "856-304-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLENWOOD PL",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621618",
            "telephone_number": "856-304-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 U St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200096221",
            "country_code": "US",
            "telephone_number": "202-588-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TAYLOR",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "DI100001165",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86120013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Adam Weisslitz, PSYD, LPC
• Wellington Estates LLC
• Jill Wells, OTR/L
• Howard Welt, M.D.
• Whole Life Functional Nutrition and Fitness, LLC (Whole Life Functional Nutrition)
• Allison Campbell Wrede, LCSW

• Registered Dietitian in Spring Lake, NJ
• Providers in Spring Lake, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.