Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336865104 Individual Practitioner Female Practitioner

Jennifer Anne Wagner , RDN

Dietitian, Registered • Largo, FL

Professional Overview & Biography Verified Profile Summary

Jennifer Wagner, RDN is a certified Dietitian, Registered practicing in Largo, FL. With approximately 4 years of clinical experience since completing medical education in 2022, Jennifer Wagner delivers high-quality medical care to the local community at 13801 WALSINGHAM RD # A-164.

Jennifer Wagner does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

13801 Walsingham Rd # A-164

Largo, FL 337743237

Telephone 2062261664

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Largo, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs Matches City Avg
City Avg: 4.0 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Largo, FL (3492 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

Clinical Seniority & Experience Comparison

Dr. Wagner (4 Years) 4 Yrs
Largo Specialty Average (4.0 Years) 4.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-17
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License FL 11315

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License TX DT90667

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License NC L008231

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

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.

Secondary Practice Locations

5323 4th Avenue Cir E

Bradenton, FL 342085623

Phone: 2068954292

655 E River Rd Unit 201

Tucson, AZ 857045853

Phone: 2068954292

200 Perimeter Park Dr Ste C

Morrisville, NC 275609714

Phone: 2068954292

6100 Harris Pkwy Ste 140

Fort Worth, TX 761324130

Phone: 2068954292

828 Healthy Way Ste 330

Virginia Beach, VA 234627959

Phone: 2068954292

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2025

Dietitian, Registered (License #DT90667 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2025

Dietitian, Registered (License #11315 in FL)

📍
Updated Practice Location March 14, 2024

Registered at 13801 WALSINGHAM RD # A-164, LARGO, FL 337743237 (Tel: 2062261664)

📍
Updated Business Mailing Address March 14, 2024

Registered at 14887 SEMINOLE TRL, SEMINOLE, FL 337761081 (Tel: 2062261664)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2024

Dietitian, Registered

NPI Profile Active October 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2022

Registered at 2519 69TH AVE S, ST PETERSBURG, FL 337125630 (Tel: 2062261664)

📍
Updated Business Mailing Address October 13, 2022

Registered at 2519 69TH AVE S, ST PETERSBURG, FL 337125630 (Tel: 2062261664)

👤
Provider Name / Credentials Updated October 13, 2022

Recorded as JENNIFER WAGNER, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2022

Dietitian, Registered (License #11315 in FL)

🟢
Initial NPI Registration & Enumeration October 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336865104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2022
Last Update: April 17, 2025
Sole Proprietor: No

Mailing Address

14887 Seminole Trl

Seminole, FL 337761081

Phone: 2062261664

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.