Anne L Wilfong, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

303 Reveille Rd
West Lake Hills, TX 78746-5337

Phone

(512) 843-1681

Fax

(737) 443-5958

NPI assigned

Sep 29, 2010

Last updated

Aug 14, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 30, 2022 through Aug 30, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Wilfong Nutrition Limited Liability Company

  • Registered Dietitian
  • West Lake Hills, TX
  • NPI 1518464650

  Dietitian, Registered

  NPD Authorized official
• Sparkman Nutrition

  • Registered Dietitian
  • Austin, TX
  • NPI 1710360904

  Dietitian, Registered

  NPD (past)
• Sparkman Nutrition, LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1619332384

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1528377249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 REVEILLE RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465337",
            "telephone_number": "512-843-1681",
            "fax_number": "737-443-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 REVEILLE RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465337",
            "telephone_number": "512-843-1681",
            "fax_number": "737-443-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFONG",
        "first_name": "ANNE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wildflower Breast Center, PLLC (Wildflower Breast Center)
• Wildflower Counseling Atx, LLC
• Lindsay Wiley, MAD, LPC-A
• Robyn K Wiley, OT
• Wilfong Nutrition Limited Liability Company
• Jessica Christine Wilke, LPC-ASSOCIATE, LSSP
• Allison Wilker
• Brianne Williams, RD, LD
• Lauren Williams, M.D.
• Katie Winer, MA, LPC

• Registered Dietitian in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.