P Praxis·MD
● Active Type 1 · Individual

Stefanie Lynn Wilkerson, RD, CSG, LD

Dietitian, Registered·Longview, TX· NPI 1659638963 · Enumerated 2012 · 14 years on NPI
Wilkerson is 1 of 19 dietitian, registered providers in Longview and 1 of 5402 in Texas.
NPI age
14 years
Enumerated 2012-04-12
Primary specialty
Dietitian, Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-04-12
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
14 years
↑ 8 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
770 Dennard St
Longview, TX 756058295
📞 9032208685fax 9036638764
Mailing address
770 Dennard St
Longview, TX 756058295
📞 9032208685fax 9036638764

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 #DT04780 taxonomy 133V00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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