Active NPI
Robert Tyler Epperson, RDN
- Registered Dietitian
- Wytheville, VA
National Provider Identifier
1952894644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86078074
- Practice address
- 855 Holston Rd
Wytheville, VA 24382-4151 - Phone
- (276) 277-4676
- Fax
- (276) 225-3555
- NPI assigned
- Jun 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86078074 | VA | Primary |
Addresses
Primary practice location
855 Holston Rd
Wytheville, VA 24382-4151
Mailing address
855 Holston Rd Apt C
Wytheville, VA 24382-4152
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1952894644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 HOLSTON RD APT C",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243824152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 HOLSTON RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243824151",
"telephone_number": "276-277-4676",
"fax_number": "276-225-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "ROBERT",
"middle_name": "TYLER",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-07",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "86078074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, VA
- David Nathaniel Eames, DO
- Susan Nadine Earles, PT MS
- Bart L Eastwood, DO
- Edgemont Center, Inc (Edgemont Rehabilitation and Recovery Center)
- Kimberly Carol Ellison, NP
- Jessica Dawn Evans, PT
- Kimeran Withrow Evans, PHYSICAL THERAPIST
- Everybody Connect Incorporated
- Dalkeith George Facey, D.O. MBA
- Family Healthcare of Wytheville, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.