Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669860409 Individual Practitioner Female Practitioner

Jody Wagner

Dietitian, Registered • Derby, CT

Professional Overview & Biography Verified Profile Summary

Jody Wagner is a registered healthcare professional specializing in Dietitian, Registered in Derby, CT. Practice services are available at 130 DIVISION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 Division St

Derby, CT 064181326

Telephone 8604788695
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Derby, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Derby, CT (833 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License CT 001295

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christina Ernst , MS, RD, CDN

Dietitian, Registered

NPI 1003070020

Master of Science, Registered Dietitian, CDN

Stacey Leary , RD, CDN, CNSC

Dietitian, Registered

NPI 1003224221

Registered Dietitian, CDN, CNSC

Dr. Genevieve Kela , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003466160

Doctor of Medicine (M.D.)

Dr. Dwayne Hall , DNP

Nurse Practitioner

NPI 1013624535

Doctor of Nursing Practice

Dr. Sybil Cheng , DO

Emergency Medicine - Emergency Medical Services

NPI 1013936699

Doctor of Osteopathic Medicine (D.O.)

Peter Integlia , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013943430

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 01, 2015

Registered at 130 DIVISION ST, DERBY, CT 064181326 (Tel: 8604788695)

📍
Updated Business Mailing Address January 01, 2015

Registered at 130 DIVISION ST, DERBY, CT 064181326 (Tel: 8604788695)

👤
Provider Name / Credentials Updated January 01, 2015

Recorded as JODY WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2015

Dietitian, Registered (License #001295 in CT)

🟢
Initial NPI Registration & Enumeration January 01, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669860409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2015
Last Update: January 01, 2015
Sole Proprietor: Yes

Mailing Address

130 Division St

Derby, CT 064181326

Phone: 8604788695

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.