Jeanette Waegelein, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

38C Grove St
Ridgefield, CT 06877-4669

Phone

(203) 900-4416

NPI assigned

Dec 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1730784919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 ROYAL CT UNIT 6201",
            "city": "NORTH HILLS",
            "state": "NY",
            "postal_code": "110402614",
            "telephone_number": "845-206-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38C GROVE ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774669",
            "telephone_number": "203-900-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAEGELEIN",
        "first_name": "JEANETTE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010542",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "1959",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Barrett LPC LLC
• Michelle P Vincoli-Diroma, MS, LPC
• Ronald Vollen, P.T.
• Linda Vossler
• W&J Home Care, LLC
• Lori Wagner, PSY.D.
• Karen Walant, PHD
• Walgreen Co
• Walgreen Co
• Kristen Elizabeth Walsh, BCBA

• Registered Dietitian in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.