Individual provider Active NPI

Rhys Wyman, MS, RD, LDN

  • Registered Dietitian
  • North Andover, MA
National Provider Identifier
1245369149
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1582 Issued in MA
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

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Nutrition Factory, LLC Dietitian, Registered CurrentSince Feb 11, 2024 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.

Verify at the official NPI Registry.