Individual provider Active NPI

Susan Wyler, MPH, RD, LDN

  • Registered Dietitian
  • Chapel Hill, NC
National Provider Identifier
1740555275
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003936 Issued in NC
Practice address
55 Vilcom Center Dr
Suite 110
Chapel Hill, NC 27514-1689
Phone
(919) 929-7990
NPI assigned
Mar 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L003936 NC Primary

Addresses

Primary practice location

55 Vilcom Center Dr
Suite 110
Chapel Hill, NC 27514-1689

Mailing address

710 Market St
Suite 9
Chapel Hill, NC 27516-9358
Phone (914) 393-3299

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

State licenses

LicenseStateTypeSpecialty
L003936NCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1740555275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MARKET ST",
            "address_2": "SUITE 9",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169358",
            "telephone_number": "914-393-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 VILCOM CENTER DR",
            "address_2": "SUITE 110",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141689",
            "telephone_number": "919-929-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLER",
        "first_name": "SUSAN",
        "credential": "MPH, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.