Organization Active NPI

Grayce Nutrition and Wellness, LLC

  • Registered Dietitian
  • Tyler, TX
National Provider Identifier
1619744901
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
GRAYCE NUTRITION AND WELLNESS, LLC
Practice address
6141 Paluxy Dr Ste 114
Tyler, TX 75703-5976
Phone
(903) 920-7626
Fax
(866) 229-4266
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Allison Grayce ReddingNPI 1659152734
Title
Ceo
Phone
(903) 920-7626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

6141 Paluxy Dr Ste 114
Tyler, TX 75703-5976

Mailing address

6141 Paluxy Dr Ste 114
Tyler, TX 75703-5976
Phone (903) 920-7626

Other practice location 1

1528 E Don St
Tyler, TX 75701-2321
Phone (903) 242-8701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423001846 TX Part B Supplier - Clinic/Group Practice 9234578238 Receives reassigned benefits from 1 practitioner
Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

Locations

6141 Paluxy Dr
Ste 114
Tyler, TX 75703
Phone (903) 920-7626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1619744901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 PALUXY DR STE 114",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035976",
            "telephone_number": "903-920-7626",
            "fax_number": "866-229-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 PALUXY DR STE 114",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035976",
            "telephone_number": "903-920-7626",
            "fax_number": "866-229-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 E Don St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012321",
            "country_code": "US",
            "telephone_number": "903-242-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAYCE NUTRITION AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "REDDING",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "GRAYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-920-7626"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.