Active NPI
Amanda D. Tyler, MED, RD, LD
- Registered Dietitian
- Schertz, TX
National Provider Identifier
1396093449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81152
- Practice address
- 1121 Sandy Ridge Cir
Schertz, TX 78154-2849 - Phone
- (210) 945-8563
- NPI assigned
- Aug 21, 2012
- Last updated
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | DT81152 | TX | Primary |
Addresses
Primary practice location
1121 Sandy Ridge Cir
Schertz, TX 78154-2849
Mailing address
1121 Sandy Ridge Cir
Schertz, TX 78154-2849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81152 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Power at Play, LLC | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1396093449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 SANDY RIDGE CIR",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781542849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 SANDY RIDGE CIR",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781542849",
"telephone_number": "210-945-8563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "AMANDA",
"middle_name": "D.",
"credential": "MED, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.