SHELBY YOUNG WAGER RD
NPI 1205220373
Dietitian, Registered in Tyler, TX

Active since March 26, 2015
619 S FLEISHEL AVE, STE 327, TYLER, TX 75701(903) 510-1173(903) 525-1312 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelby Young Wager Rd NPPES

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

SHELBY YOUNG WAGER RD (NPI 1205220373) is an individual dietitian, registered in Tyler, Texas, licensed in Texas (DT83604) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1205220373
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHELBY YOUNG WAGERCredential: RD
Location Address619 S FLEISHEL AVE, STE 327Tyler, TX 75701-2004
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Fax(903) 525-1312
Sole ProprietorNo
Enumeration DateMarch 26, 2015
Last NPPES UpdateDecember 28, 2015
NPI 1205220373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in TX · DT83604
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.

619 S FLEISHEL AVE, Tyler, TX 75701

Other Identifiers 10

Other8FA581TX · Bcbs
Medicaid348718302TX
Medicare PIN403580YS6PTX
Other8FA580TX · Bcbs
Other75-2616977-124TX · Tricare
OtherP01464094TX · Rail Road Medicare
Medicare PIN403580YMAFTX
Other75-0818167-015TX · Tricare
OtherP01464110TX · Rail Road Medicare
Medicaid348718301TX

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
619 S FLEISHEL AVE, STE 327
TYLER, TX 75701
Physician Assistant
619 S FLEISHEL AVE
TYLER, TX 75701
Surgery (Vascular Surgery)
619 S FLEISHEL AVE, STE 203
TYLER, TX 75701
Nurse Practitioner (Family)
619 S FLEISHEL AVE
TYLER, TX 75701
Internal Medicine (Critical Care Medicine)
619 S FLEISHEL AVE
TYLER, TX 75701
Internal Medicine (Endocrinology, Diabetes & Metabolism)
619 S FLEISHEL AVE, STE 327
TYLER, TX 75701
Internal Medicine (Cardiovascular Disease)
619 S FLEISHEL AVE, SUITE 101
TYLER, TX 75701
Internal Medicine (Interventional Cardiology)
619 S FLEISHEL AVE, SUITE 101
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Wager's NPI number?

The NPI number for Shelby Wager is 1205220373. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Shelby Wager located?

Shelby Wager practices at 619 S Fleishel Ave Ste 327, Tyler, TX 75701. The listed phone number is (903) 510-1173.

What is Shelby Wager's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Shelby Wager was last updated on December 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.