Active NPI
Virginia R Wagner, R.D., L.D.
- Registered Dietitian
- Toledo, OH
National Provider Identifier
1336508662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3030
- Practice address
- 2222 Cherry St.
Mob 2, M900
Toledo, OH 43608-2801 - Phone
- (419) 251-4390
- Fax
- (419) 251-3133
- NPI assigned
- Feb 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3030 | OH | Primary |
Addresses
Primary practice location
2222 Cherry St.
Mob 2, M900
Toledo, OH 43608-2801
Mailing address
2213 Cherry St.
Toledo, OH 43608-2801
Phone (419) 251-4505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3030 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1336508662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 CHERRY ST.",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082801",
"telephone_number": "419-251-4505",
"fax_number": "419-251-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 CHERRY ST.",
"address_2": "MOB 2, M900",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082801",
"telephone_number": "419-251-4390",
"fax_number": "419-251-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "VIRGINIA",
"middle_name": "R",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "3030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.