P Praxis·MD
● Active Type 1 · Individual

Cristal Vardeman, RD

Dietitian, Registered·Tyler, TX· NPI 1942979018 · Enumerated 2021 · 4 years on NPI
Vardeman is 1 of 37 dietitian, registered providers in Tyler and 1 of 5402 in Texas.
NPI age
4 years
Enumerated 2021-09-10
Primary specialty
Dietitian, Registered
Plus 3 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5402 active dietitian, registered providers in Texas.

NPI age
4 years
↓ 1 yr below median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
2
In the 10% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Practice location
4411 Kinsey Dr Apt 1024
Tyler, TX 757031020
📞 9033929705fax 4302673550
Mailing address
4411 Kinsey Dr Apt 1024
Tyler, TX 757031020
📞 9033929705fax 4302673550

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 #86152610 taxonomy 133V00000X
  • Nutritionist
    Definition to come...
    taxonomy 133NN1002X
  • Nutritionist
    A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals...
    taxonomy 133N00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 3 new dietitian, registered providers have been added in Tyler in the last 180 days. See all →
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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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