Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

My Signature Nutrition, LLC

Organization Registered Dietitian · NPI 1528462223

My Signature Nutrition, LLC provides Registered Dietitian services in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5620 Old Bullard Rd Ste 125
Tyler, TX 75703-4358 Not confirmed with CMS for 11 years — call before visiting
Phone: (903) 312-8906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT82055 (TX)

Record details

NPI number1528462223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Upson — Owner · (903) 312-8906
NPI enumeratedOctober 9, 2014
Last updated in NPPESOctober 9, 2014
Mailing address5620 Old Bullard Rd, Suite 125, Tyler, TX 75703-4358

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