Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417143959 Individual Practitioner Female Practitioner

Meredith G Wagner , LRD

Dietitian, Registered • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Meredith Wagner, LRD is a registered healthcare professional specializing in Dietitian, Registered in Fargo, ND. Practice services are available at 700 1ST AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 1st Ave S

Fargo, ND 581031802

Telephone 7012344111
Fax 7012344130
Associated Practice Facility / Clinic
🏢 Sanford Clinic North Facility NPI 1023030046

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
133 Specialists

Practicing in Fargo, ND (311 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 ND 731

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
55103 (ND)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Kathryn Olson , FNP

Nurse Practitioner - Family

NPI 1023837861

Family Nurse Practitioner

Dr. Lorraine Swan-Kremeier , PsyD

Psychologist - Psychoanalysis

NPI 1093736217

Doctor of Psychology (Psy.D.)

NPI 1174229595

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Kendra Kisner , MS, RDN, LRD

Dietitian, Registered

NPI 1376408104

Master of Science, Registered Dietitian Nutritionist, LRD

Dr. Tricia Myers , PhD

Psychologist - Psychoanalysis

NPI 1528085065

Doctor of Philosophy (Ph.D.)

Leann Czapiewski , LRD

Dietitian, Registered

NPI 1598262545

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2007

Registered at 700 1ST AVE S, FARGO, ND 581031802 (Tel: 7012344111)

📍
Updated Business Mailing Address December 27, 2007

Registered at 700 1ST AVE S, FARGO, ND 581031802 (Tel: 7012344111)

👤
Provider Name / Credentials Updated December 27, 2007

Recorded as MEREDITH WAGNER, LRD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2007

Dietitian, Registered (License #731 in ND)

🟢
Initial NPI Registration & Enumeration September 19, 2007

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: 1417143959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2007
Last Update: December 27, 2007
Sole Proprietor: No

Mailing Address

700 1st Ave S

Fargo, ND 581031802

Phone: 7012344111

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.