NPI age
11 years
Enumerated 2015-03-26
● Active
Type 1 · Individual
Shelby Young Wager, RD
Wager is 1 of 37 dietitian, registered providers in Tyler and 1 of 5402 in Texas.
Primary specialty
Dietitian, Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-12-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5402 active dietitian, registered providers in Texas.
NPI age
11 years
↑ 5 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-03Enumerated in NPPES
2015
2026
Where they practice
Practice location
619 S Fleishel Ave, Ste 327
Tyler, TX 757012004
Mailing address
Po Box 846098
Dallas, TX 752846098
Specialties
-
Dietitian, Registered PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 348718302 | |
| 01 (TX) | 75-2616977-124 | TRICARE |
| 01 (TX) | P01464110 | RAIL ROAD MEDICARE |
| 01 (TX) | 75-0818167-015 | TRICARE |
| 05 (TX) | 348718301 | |
| 01 (TX) | P01464094 | RAIL ROAD MEDICARE |
| 01 (TX) | 8FA581 | BCBS |
| 01 (TX) | 8FA580 | BCBS |
Practice context
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new dietitian, registered providers have been added in Tyler in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.