Tyler Roof, RD, CSSD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

86169963 Issued in UT

Practice address

2094 S Pine Meadow Dr
Coalville, UT 84017-9362

Phone

(678) 863-1938

NPI assigned

Aug 7, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824
  NPD (past)

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1558246769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 S PINE MEADOW DR",
            "city": "COALVILLE",
            "state": "UT",
            "postal_code": "840179362",
            "telephone_number": "678-863-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 S PINE MEADOW DR",
            "city": "COALVILLE",
            "state": "UT",
            "postal_code": "840179362",
            "telephone_number": "678-863-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOF",
        "first_name": "TYLER",
        "credential": "RD, CSSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "UT",
            "license": "13073914-4901",
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "UT",
            "license": "86169963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Montana, MA CCC-SLP
• Jean Paskett, RN
• Peak Performance Physical Therapy and Fitness
• Peak Performance PT
• Ridley'S Family Markets Inc
• Rhonda Denise Schlegel
• Toole & Associates
• Douglas B Toole, P.T.
• Jeanette Vernon, PHYSICIAN ASSISTANT
• Rodney Edward Wade, DPT

• Sports Dietetics Nutrition Registered Dietitian in Coalville, UT
• Providers in Coalville, UT by specialty
• Sports Dietetics Nutrition Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.