Whitney Wagner, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4263 Issued in TN

Practice address

1211 21St Ave S Ste 607
Nashville, TN 37212-2718

Phone

(615) 936-3952

NPI assigned

Aug 29, 2022

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

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1619697851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 21ST AVE S STE 607",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122718",
            "telephone_number": "615-936-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 21ST AVE S STE 607",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122718",
            "telephone_number": "615-936-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "WHITNEY",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "4263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Lamont Wagner, MD
• Franz Wagner, LPN
• Heather Jean Marie Wagner, B.S.
• Krystn Rae Wagner, MD
• Rachel L Wagner, ARNP
• Julianne Wagnon, APRN
• Katie Wagstaffe, NP
• Lois Wagstrom, M.D.
• Rifat A Wahab, DO
• John Wahba, NP-C

• Registered Dietitian in Nashville, TN
• Providers in Nashville, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.