Holly Ann Wise, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT87266 Issued in TX

Practice address

4408 Spicewood Springs Rd
Austin, TX 78759-8504

Phone

(509) 760-6467

NPI assigned

May 18, 2022

Last updated

May 18, 2022By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1275270480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 WILLOWRUN DR APT E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047312",
            "telephone_number": "509-760-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 SPICEWOOD SPRINGS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598504",
            "telephone_number": "509-760-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3466 Willowrun Dr Apt E",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047312",
            "country_code": "US",
            "telephone_number": "509-760-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hw@austincounselingnutrition.com",
            "affiliation": "N",
            "address_1": "3466 Willowrun Dr Apt E",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787047312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristy Wisdom, BCBA
• Wise Zen Therapy, PLLC
• Brenna Christine Wise, NP
• Chrissie Wise
• Dara J Wise, CTRS
• James L Wise, M.D.
• Kady Maxwell Wise, LPC-
• Kendal Brooke Wise
• Laura Wise, MD
• Macy Lauren Wise

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.