Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY WAGNER
Active Sole ProprietorJODY WAGNER is a Registered Dietitian healthcare provider located in DERBY, Connecticut. NPI 1669860409 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · DERBY, CT
Registration Details
- NPI Number
- 1669860409
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 1, 2015 (11.576051294832 yrs)
- Last Updated
- Jan 1, 2015
- License
-
001295 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 DIVISION STDERBY, CT, 064181326Browse CT providers · Browse ZIP 06418
- Phone
- 8604788695
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in DERBY, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. KELLY LYNNETTE SHEEHAN | R.D., CD-N | 1346273224 |
| MRS. CHRISTINA ERNST | MS,RD,CDN | 1003070020 |
| MRS. LARISSA ZEPKO-MARCH | RD, CDN | 1952744500 |
| MRS. MELISSA MITRI | — | 1912324815 |
| STACEY LEARY | RD, CDN, CNSC | 1003224221 |
| KATE KELLEY | RD | 1225426448 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.