Active NPI
Rhys Wyman, MS, RD, LDN
- Registered Dietitian
- North Andover, MA
National Provider Identifier
1245369149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1582
- Practice address
- 565 Turnpike St Ste 64
North Andover, MA 01845-5936 - Phone
- (978) 474-4478
- Fax
- (978) 427-6229
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 198 | NH | |
| Registered Dietitian | 133V00000X | 1582 | MA | Primary |
Addresses
Primary practice location
565 Turnpike St Ste 64
North Andover, MA 01845-5936
Mailing address
209 Range Road
Windham, NH 03087-1805
Phone (978) 474-4478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610001020 | MA | Practitioner - Registered Dietitian Or Nutrition Professional | 2062495054 | Practice locations: Andover, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
68 Main St
Suite 3
Andover, MA 01810-3834
Phone (978) 474-4478
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Factory, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
68 Main St
Ste 3
Andover, MA 01810
Phone (978) 474-4478
565 Turnpike St
Ste 64
North Andover, MA 01845
Phone (978) 474-4478
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1245369149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 RANGE ROAD",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871805",
"telephone_number": "978-474-4478",
"fax_number": "603-894-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 TURNPIKE ST STE 64",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455936",
"telephone_number": "978-474-4478",
"fax_number": "978-427-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMAN",
"first_name": "RHYS",
"name_prefix": "Mr.",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "198",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.