Active NPIIndividual providerSole proprietor

Ms. Dominique Tye, RD

Dietitian, Registered in Austin, Texas

NPI Number1720985617
Practice location
3724 Jefferson St Ste 104, Austin, TX 78731-6204
Fax
—
Last updated
October 22, 2026

Dominique Tye is a Dietitian, Registered based in Austin, TX. Dominique Tye practices in Austin, TX and has the professional credentials of RD. The NPI Number for Dominique Tye is 1720985617 and holds a License No. 86420324 (NJ). The current practice location address for Dominique Tye is 3724 Jefferson St Ste 104, Austin, TX 78731-6204 and can be reached out via phone at 973-294-0848.

Provider Profile Details

NPI Number
1720985617
Provider Name
Dominique Tye
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
3724 Jefferson St Ste 104, Austin, TX 78731-6204
Phone Number
973-294-0848
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 22, 2026
Last Update Date
October 22, 2026
Certification Date
October 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3724 Jefferson St Ste 104
Austin, TX 78731-6204
City
Austin
State
Texas
Zip
78731-6204
Phone Number
973-294-0848
Austin, TX 78731Get directions →

Provider Business Mailing Address Details

Address
19 E Circuit Dr
Succasunna, NJ 07876-1914
City
Succasunna
State
NJ
Zip
07876-1914

License Information

License Number
86420324
License State
NJ
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Dominique Tye, RD?

The NPI number of Ms. Dominique Tye, RD is 1720985617. It was assigned on October 22, 2026 and is currently active in the NPPES registry.

What is the specialty of Ms. Dominique Tye, RD?

Ms. Dominique Tye, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86420324.

Where does Ms. Dominique Tye, RD practice?

The practice location is 3724 Jefferson St Ste 104, Austin, TX 78731-6204. The office can be reached at 973-294-0848 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720985617 directly on the NPPES registry website.

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