Active NPIIndividual provider

Jeanette Waegelein, RDN

Dietitian, Registered in Ridgefield, Connecticut

NPI Number1730784919
Practice location
38C Grove St, Ridgefield, CT 06877-4669
Fax
—
Last updated
July 6, 2021

Jeanette Waegelein is a Dietitian, Registered based in Ridgefield, CT. Jeanette Waegelein practices in Ridgefield, CT and has the professional credentials of RDN. The NPI Number for Jeanette Waegelein is 1730784919 and holds a License No. 010542 (NY). The current practice location address for Jeanette Waegelein is 38C Grove St, Ridgefield, CT 06877-4669 and can be reached out via phone at 203-900-4416.

Provider Profile Details

NPI Number
1730784919
Provider Name
Jeanette Waegelein
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
38C Grove St, Ridgefield, CT 06877-4669
Phone Number
203-900-4416
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
December 3, 2020
Last Update Date
July 6, 2021
Certification Date
July 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
38C Grove St
Ridgefield, CT 06877-4669
Zip
06877-4669
Phone Number
203-900-4416
Ridgefield, CT 06877Get directions →

Provider Business Mailing Address Details

Address
6000 Royal CT Unit 6201
North Hills, NY 11040-2614
City
North Hills
State
NY
Zip
11040-2614
Phone Number
845-206-1503

License Information

License Number (1)
010542
License State (1)
NY
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
1959
License State (2)
CT
Taxonomy (2)
Dietitian, Registered · 133V00000X
Taxonomy (3)
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 Jeanette Waegelein, RDN?

The NPI number of Jeanette Waegelein, RDN is 1730784919. It was assigned on December 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Jeanette Waegelein, RDN?

Jeanette Waegelein, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 010542.

Where does Jeanette Waegelein, RDN practice?

The practice location is 38C Grove St, Ridgefield, CT 06877-4669. The office can be reached at 203-900-4416 (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 1730784919 directly on the NPPES registry website.

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