Active NPI
Connie Wyatt
- Registered Dietitian
- Wyomissing, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005416
- Practice address
- 1991 State Hill Rd
Wyomissing, PA 19610-1648 - Phone
- (484) 628-4270
- Fax
- (484) 628-4261
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN005416 | PA | Primary |
Addresses
Primary practice location
1991 State Hill Rd
Wyomissing, PA 19610-1648
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.1 of 100
- Quality
- 77.19
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 79.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| Your Specialized Dietitian | Dietitian, Registered | Past | Accepting new patients |
| Reading Professional Services | Past | Accepting new patients |
Locations
420 W Linfield Trappe Rd
Ste 3100
Limerick, PA 19468
Phone (484) 750-3906
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
1220 Broadcasting Rd
Ste 100
Wyomissing, PA 19610
Phone (484) 628-5673
1991 State Hill Rd
Wyomissing, PA 19610
Phone (484) 628-4270
Organizations & group practices 9
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.
-
- Vascular Surgery Physician
- Limerick, PA
- NPI 1790746345
-
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
-
- Surgery Physician
- West Reading, PA
- NPI 1457907198
-
- Radiation Oncology Physician
- West Reading, PA
- NPI 1992387518
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Geriatric Psychiatry Physician
- Wyomissing, PA
- NPI 1780885723
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- Endocrinology, Diabetes & Metabolism Physician
- Reading, PA
- NPI 1457391625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1285081265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-0796",
"fax_number": "484-334-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 STATE HILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101648",
"telephone_number": "484-628-4270",
"fax_number": "484-628-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "CONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN005416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.