IndividualActive
Carolyn Wyly
NPI 1417241175 · Registered Dietetic Technician · Houston, TX
Provider details
- NPI number
- 1417241175
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DT04433 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2620 Tanglewilde St
Houston, TX 77063-3203
Phone: (713) 860-8383
Fax: (713) 860-8384
Street-level locationGet directions
Mailing address
2620 Tanglewilde St
Houston, TX 77063-3203
Registry dates
- Enumerated
- 2011-05-30
- Last updated
- 2011-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.