Sandra R Wyers, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT82734 Issued in TX

Practice address

2900 W Anderson LN Ste C-200354
Austin, TX 78757-1102

Phone

(512) 643-3761

Fax

(737) 282-0615

NPI assigned

Nov 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Sandy R. Wyers, LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1194262584

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1841577608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 BANYON ST UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571506",
            "telephone_number": "512-878-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W ANDERSON LN STE C-200354",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571102",
            "telephone_number": "512-643-3761",
            "fax_number": "737-282-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYERS",
        "first_name": "SANDRA",
        "middle_name": "R",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2022-06-19",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DT82734",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LD-0737",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LD-D-000996",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Ryan Wyatt, MD
• Frank David Wyatt Jr., MS,RD, CSO, LD
• Logan Alyse Wyatt
• Sarah Wyatt, LCSW
• Sarah K Wycheck
• Kellie R Wylie, LCSW
• Rigel Tenya Wymore, LCSW
• Mary L Wynn-Johnson, CRNA
• Elisha Wynn, LCSW
• Michael Preston Wynn, MD MPH

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; 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.