Barbara J Wientzen-Dagenais, RD,CDE,BC-ADM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

87 Issued in NH

Practice address

250 Pleasant St
Concord, NH 03301-7559

Phone

(603) 227-7000

Fax

(603) 227-7516

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1104045616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUTTRICK RD",
            "address_2": "STE 102",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533417",
            "telephone_number": "603-537-1317",
            "fax_number": "603-845-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-227-7000",
            "fax_number": "603-227-7516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14A Tsienneto Rd",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030381505",
            "country_code": "US",
            "telephone_number": "603-537-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIENTZEN-DAGENAIS",
        "first_name": "BARBARA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RD,CDE,BC-ADM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "87",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NUTRITION THERAPY",
            "identifier": "WIMT0252",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Ann Whittington, LIC AC
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• Charles David Wicks, MD
• Roger H Wicksman, DO
• Tess Alexandra Wiggin, PA-C
• Kristina Ann Wihbey, M.D.
• Lloyd M Wilcox, M.D.
• Patricia Irene Wilczynski
• Timothy Joal Wildman, D.MIN.

• Registered Dietitian in Concord, NH
• Providers in Concord, NH by specialty
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.