Stephanie Marie Wagner, MS RDN LDN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

1857 Issued in KS

Practice address

7318 W 54TH St
Overland Park, KS 66202-1203

Phone

(405) 623-3399

NPI assigned

Feb 28, 2024

Last updated

Feb 28, 2024By the provider in NPPES

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

Enrolled in TX, MI2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Psy-Med, Inc.

  • Health Psychologist
  • Dallas, TX
  • NPI 1881842102

  MI, Nutrition, Obesity and Weight Management

  Medicare reassignment NPD
• Food Coach Me LLC

  dba Bariatric Food Coach

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Mission, KS
  • NPI 1801617378

  Nutrition, Obesity and Weight Management

  NPD Authorized official

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1912763749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 W 54TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662021203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 W 54TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662021203",
            "telephone_number": "405-623-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS RDN LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "KS",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Wade, LPC
• Joseph F Waeckerle, MD
• Kathryn Eleanor Wagenheim, PT, DPT
• Abigail Elizabeth Wagle
• Emily Marie Wagner, PHARM.D.
• Brianna Marie Wahl
• Lindsay Nadine Wahlstrom, M.D.
• Kelly Rose Waisner
• Daisy Waithira, FNP-C
• Norman Waitley, D.D.S

• Obesity and Weight Management Nutrition Registered Dietitian in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.