Rose Lynn Wagner, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

180 Alto Dr
Oak View, CA 93022-9526

Phone

(707) 292-8808

NPI assigned

Aug 16, 2022

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 names 1

• Rose Lynn Flores Former name

Electronic endpoints 1

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1801514708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ALTO DR",
            "city": "OAK VIEW",
            "state": "CA",
            "postal_code": "930229526",
            "telephone_number": "707-292-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ALTO DR",
            "city": "OAK VIEW",
            "state": "CA",
            "postal_code": "930229526",
            "telephone_number": "707-292-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ROSE",
        "middle_name": "LYNN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "homegrownnutrition@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "180 Alto Dr",
            "city": "Oak View",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930229526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "FLORES",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larry Schroeder Simpson, D.D.S.
• Robert St. John, CATC-I
• Rebecca Stephens, MD
• Sunny Valentine Swallows
• Noelle Swanger, RN
• Joseph R Westbury, D.D.S.
• Carson Charles Winn, LCSW
• Mark Workman, CADC-II

• Registered Dietitian in Oak View, CA
• Providers in Oak View, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.