P Praxis·MD
● Active Type 2 · Organization

My Signature Nutrition, Llc

Dietitian, Registered·Tyler, TX· NPI 1528462223 · Enumerated 2014 · 11 years on NPI
My Signature Nutrition, Llc is 1 of 5402 dietitian, registered organizations in Texas.
NPI age
11 years
Enumerated 2014-10-09
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Upson
Owner
Last NPPES update
2014-10-09
Source: monthly bulk 2026-05

How this organization compares

Across 5402 active dietitian, registered providers in Texas.

NPI age
11 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-10Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
5620 Old Bullard Rd, Suite 125
Tyler, TX 757034358
📞 9033128906
Mailing address
5620 Old Bullard Rd, Suite 125
Tyler, TX 757034358
📞 9033128906

Authorized official

Sara Upson, M.ED, RD, LD
Owner
📞 9033128906

Specialties

  • Dietitian, Registered Primary
    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...
    TX license #DT82055 taxonomy 133V00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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