Renee Christine Wanovich, MCN, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

11933225 Issued in TX

Practice address

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Phone

(469) 419-0694

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1093581639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 ROSS AVE APT 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044917",
            "telephone_number": "412-216-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357709",
            "telephone_number": "469-419-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANOVICH",
        "first_name": "RENEE",
        "middle_name": "CHRISTINE",
        "credential": "MCN, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "11933225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret F Wangsgaard, RDN, LD
• Anna Riyaz Wani, M.D.
• Mubashir Mohidin Wani, M.D.
• George Muriithi Wanjiru, LVN
• Daniel Wann, CRNA
• Scott Robert Wansbrough, MD
• Ashton Brooke Want, P.A.-C
• Henry Akoh Wantchami, FNP
• Warby Parker Inc.
• Warby Parker Inc.

• Registered Dietitian in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.