BETH LYNNE WOLFGRAM RD
NPI 1760219281
Dietitian, Registered in Tucson, AZ

Q: What is Beth Wolfgram's NPI number?

The NPI number for Beth Wolfgram is 1760219281. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Q: What is Beth Wolfgram'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 Beth Wolfgram was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 September 18, 2024

655 E RIVER RD UNIT 201, TUCSON, AZ 85704(206) 895-4292(833) 973-4034 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Beth Lynne Wolfgram Rd NPPES

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

BETH LYNNE WOLFGRAM RD (NPI 1760219281) is an individual dietitian, registered in Tucson, Arizona, licensed in Maine (DI613) and active in the NPI registry since September 2024. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760219281

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameBETH LYNNE WOLFGRAMCredential: RD

Location Address655 E RIVER RD UNIT 201Tucson, AZ 85704-5853

Mailing AddressPo Box 81064Cleveland, OH 44181-0064 · (206) 895-4292 · Fax (833) 973-4034

Phone(206) 895-4292

Fax(833) 973-4034

Sole ProprietorYes

Enumeration DateSeptember 18, 2024

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1760219281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in ME · DI613✔ Licensed in FL · ND9159✔ Licensed in NC · L006601✔ Licensed in SC · 3168✔ Licensed in NH · 1261

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.

Also ListedDietitian, Registered · Nutrition, Sports DieteticsTaxonomy 133VN1501X · License DI613 (ME)

655 E RIVER RD UNIT 201, Tucson, AZ 85704

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Secondary Practice Locations 2

Location 1200 Perimeter Park Dr Ste CMorrisville, NC 27560-9714 · Phone (206) 895-4292 · Fax (833) 450-5528

Location 25323 4th Avenue Cir EBradenton, FL 34208-5623 · Phone (206) 895-4292 · Fax (833) 973-4033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Lynne Wolfgram Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Beth Wolfgram reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesis Ob Gyn PLLC

Same address

Obstetrics & Gynecology

655 E RIVER RD UNIT 201
Tucson, AZ 85704

Reassigned Medicare billing, Arizona enrollment
157 clinicians in this Medicare group

NPI 1992994214 (520) 258-0585

Florida Woman Care, LLC

1,724 mi

Obstetrics & Gynecology

4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607

Reassigned Medicare billing, Florida enrollment
802 clinicians in this Medicare group

NPI 1386823243 (561) 300-2410

Uwh Of The Carolinas, PLLC

1,851 mi

Obstetrics & Gynecology

200 PERIMETER PARK DR STE B
Morrisville, NC 27560

Reassigned Medicare billing, North Carolina and South Carolina enrollments
413 clinicians in this Medicare group

NPI 1639506470 (919) 334-0150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

GENESIS OB GYN PLLC

Obstetrics & Gynecology

655 E RIVER RD UNIT 201
TUCSON, AZ 85704

Pima County (520) 258-0585

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 Beth Wolfgram's NPI number?

The NPI number for Beth Wolfgram is 1760219281. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Where is Beth Wolfgram located?

Beth Wolfgram practices at 655 E River Rd Unit 201, Tucson, AZ 85704. The listed phone number is (206) 895-4292.

What is Beth Wolfgram's specialty?

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

Is Beth Wolfgram enrolled in Medicare?

Yes. Beth Wolfgram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Beth Wolfgram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beth Wolfgram reassigns Medicare benefits to 3 organizations: Genesis Ob Gyn PLLC (Tucson, AZ), Florida Woman Care, LLC (Tampa, FL) and Uwh Of The Carolinas, PLLC (Morrisville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beth Wolfgram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Beth Wolfgram was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.