Provider Demographics
NPI:1457038358
Name:PYLE, SIERRA CHRISTINE (RD)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:CHRISTINE
Last Name:PYLE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4829 BELLA PACIFIC ROW UNIT 117
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-2368
Mailing Address - Country:US
Mailing Address - Phone:713-715-8438
Mailing Address - Fax:
Practice Address - Street 1:4829 BELLA PACIFIC ROW UNIT 117
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-2368
Practice Address - Country:US
Practice Address - Phone:713-715-8438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86081991133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered