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

Q: 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.

Q: What is Shelby Wager's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelby Wager was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(903) 510-1173

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

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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.

LUIS R. ARCE MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

619 S FLEISHEL AVE, STE 327
TYLER, TX 75701

Smith County (903) 510-1173

KYLEE CARVER PA-C

Physician Assistant

619 S FLEISHEL AVE
TYLER, TX 75701

Smith County (844) 606-3627

DR. TODD P SMITH MD

Surgery (Vascular Surgery)

619 S FLEISHEL AVE, STE 203
TYLER, TX 75701

Smith County (903) 525-1400

JESSICA LYNN THOMPSON NP

Nurse Practitioner (Family)

619 S FLEISHEL AVE
TYLER, TX 75701

Smith County (903) 606-2830

JOSEPH M ZASIK DO

Internal Medicine (Critical Care Medicine)

619 S FLEISHEL AVE
TYLER, TX 75701

Smith County (903) 606-2299

DR. SYLVIA A KARIAMPUZHA MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

619 S FLEISHEL AVE, STE 327
TYLER, TX 75701

Smith County (903) 510-1173

JOHN DANIEL JACKMAN MD

Internal Medicine (Cardiovascular Disease)

619 S FLEISHEL AVE, SUITE 101
TYLER, TX 75701

Smith County (903) 595-5514

DAVID MICHAEL DICK MD

Internal Medicine (Interventional Cardiology)

619 S FLEISHEL AVE, SUITE 101
TYLER, TX 75701

Smith County (903) 595-5514

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.