JACQUELINE MARIE WYMAN MS, RD, LD
NPI 1073073045
Dietitian, Registered in Phoenix, AZ

Active since March 25, 2019
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0940 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Marie Wyman Ms, Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MARIE WYMAN MS, RD, LD (NPI 1073073045) is an individual dietitian, registered in Phoenix, Arizona, licensed in Arizona (86066765) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1073073045
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJACQUELINE MARIE WYMANCredential: MS, RD, LD
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-7761 · (602) 933-3124
Sole ProprietorNo
Enumeration DateMarch 25, 2019
Last NPPES UpdateJune 22, 2022
NPPES CertifiedJune 22, 2022
NPI 1073073045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in AZ · 86066765 Licensed in OH · LD.08638
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1919 E THOMAS RD, Phoenix, AZ 85016

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Pediatric Emergency Medicine)
1919 E THOMAS RD, DEPARTMENT OF EMERGENCY MEDICINE
PHOENIX, AZ 85016
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Critical Care Medicine)
1919 E THOMAS RD, SUITE 1891
PHOENIX, AZ 85016
Pediatrics (Pediatric Nephrology)
1919 E THOMAS RD, BLDG B DEPT OF NEPHROLOGY
PHOENIX, AZ 85016
Pediatrics (Pediatric Hematology-Oncology)
1919 E THOMAS RD, BLDG B DEPT OF HEMATOLOGY/ONCOLOGY
PHOENIX, AZ 85016
Pediatrics (Pediatric Hematology-Oncology)
1919 E THOMAS RD, BLDG B
PHOENIX, AZ 85016
Clinical Neuropsychologist
1919 E THOMAS RD, BLDG B
PHOENIX, AZ 85016
Pediatrics (Pediatric Emergency Medicine)
1919 E THOMAS RD
PHOENIX, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073073045, enumerated as an "individual" on March 25, 2019.

The provider is located at 1919 E THOMAS RD PHOENIX, AZ 85016 and the phone number is (602) 933-0940.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.