Jody Wagner
Dietitian, Registered in Derby, Connecticut
1669860409- Practice location
- 130 Division St, Derby, CT 06418-1326
- Phone
- 860-478-8695
- Fax
- —
- Last updated
- January 1, 2015
Jody Wagner is a Dietitian, Registered based in Derby, CT. Jody Wagner practices in Derby, CT. The NPI Number for Jody Wagner is 1669860409 and holds a License No. 001295 (CT). The current practice location address for Jody Wagner is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 860-478-8695.
Provider Profile Details
- NPI Number
- 1669860409
- Provider Name
- Jody Wagner
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Division St, Derby, CT 06418-1326
- Phone Number
- 860-478-8695
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 1, 2015
- Last Update Date
- January 1, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Division St
Derby, CT 06418-1326 - City
- Derby
- State
- Connecticut
- Zip
- 06418-1326
- Phone Number
- 860-478-8695
Provider Business Mailing Address Details
- Address
- 130 Division St
Derby, CT 06418-1326 - City
- Derby
- State
- CT
- Zip
- 06418-1326
- Phone Number
- 860-478-8695
License Information
- License Number
- 001295
- License State
- CT
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Derby, CT
View all Dietitian, Registered providers in Derby →- Jessica L Thongparn, RDDietitian, Registered · NPI 1093305674
- Kate Kelley, RDDietitian, Registered · NPI 1225426448
- Lauren Karamavros, RDDietitian, Registered · NPI 1477084069
- Mrs. Christina Ernst, MS, RD, CDNDietitian, Registered · NPI 1003070020
- Mrs. Kelly L Sheehan, RD, CD-NDietitian, Registered · NPI 1346273224
- Mrs. Larissa Zepko-March, RD, CDNDietitian, Registered · NPI 1952744500
Frequently Asked Questions
What is the NPI number of Jody Wagner?
The NPI number of Jody Wagner is 1669860409. It was assigned on January 1, 2015 and is currently active in the NPPES registry.
What is the specialty of Jody Wagner?
Jody Wagner is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 001295.
Where does Jody Wagner practice?
The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 860-478-8695 (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 1669860409 directly on the NPPES registry website.