Individual provider Active NPI

Kristen Annette Waguespack, MS,RD,LDN

  • Oncology Nutrition Registered Dietitian
  • Jefferson, LA
National Provider Identifier
1295699734
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X
License
3265 Issued in LA
Practice address
1515 River Rd
Jefferson, LA 70121-4227
Phone
(504) 203-8620
NPI assigned
Dec 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Nutrition Registered Dietitian 133VN1301X 3265 LA Primary

Addresses

Primary practice location

1515 River Rd
Jefferson, LA 70121-4227

Mailing address

101 Theriot LN
Thibodaux, LA 70301-6711
Phone (985) 790-2888

Other practice location 1

101 Theriot Ln
Thibodaux, LA 70301-6711
Phone (985) 790-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129002413 LA Practitioner - Registered Dietitian Or Nutrition Professional 9133607336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3265LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Dietitian, Registered CurrentSince Dec 31, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 31, 2025 Accepting new patients
Ochsner Pharmacy and Wellness, LLC PastSince Dec 14, 2025 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1295699734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THERIOT LN",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016711",
            "telephone_number": "985-790-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RIVER RD",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214227",
            "telephone_number": "504-203-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Theriot Ln",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703016711",
            "country_code": "US",
            "telephone_number": "985-790-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGUESPACK",
        "first_name": "KRISTEN",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "MS,RD,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "LA",
            "license": "3265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.