GEORGIA WAGNER (NPI# 1295146165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295146165 |
| Entity Type | Individual |
| Full Name | GEORGIA WAGNER |
| Credential | MA,RD,CD |
| Practice Address |
1941 Virginia Ave Connersville IN 47331-2833 |
| Practice Telephone | 7658255131 |
| Practice Fax Number | 7658277863 |
| Mailing Telephone | 7658255131 |
| Mailing Fax Number | 7658277863 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 37000770A | IN | Dietary & Nutritional Service Providers |
| Street Address |
1941 VIRGINIA AVE |
| City | CONNERSVILLE |
| State | IN |
| Zip Code | 47331-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856996 | Gabor L Tolnay | Pathology | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2006-01-20 |
| 1134692775 | Hcc of Connersville, LLC | Emergency Medicine | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2019-01-07 |
| 1700351046 | Ess of Connersville, LLC | Emergency Medicine | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2018-10-12 |
| 1114409844 | Dashell Lynn Tout | Licensed Practical Nurse | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2018-08-29 |
| 1356790042 | Siskin Physicians LLC | Emergency Medicine | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2016-06-03 |
| 1316369291 | Medical Hospitalists LLC | Hospitalist | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2014-01-13 |
| 1205273554 | Resource Anesthesiology Associates of In LLC | Nurse Anesthetist, Certified Registered | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2013-05-28 |
| 1225394919 | Connorsville Emergency Group PC | Physician Assistant | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2012-04-06 |
| 1326353236 | Preferred Emergency Specialists, LLC | Emergency Medicine | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2010-08-16 |
| 1902125883 | Fayette Memorial Hospital Association Inc | Clinical Medical Laboratory | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2010-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275062630 | Williams Creek Health Center | Chiropractor | 685 S Co Rd 350 W, Connersville, IN 47331 | 2017-06-08 |
| 1801275201 | Americas Best Foot and Ankle Specialists | Podiatrist | 1475 East State Road 44 Suite 7., Whitewater Valley Medical Center, Connersville, IN 47331 | 2015-05-19 |
| 1508027269 | Kevin Andrew Yaryan | Optometrist | 522 N Eastern Ave, Connersville, IN 47331 | 2008-06-24 |
| 1477694602 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 556 S Co Rd 550 W, Connersville, IN 47331 | 2007-02-09 |
| 1316024904 | Mark Milton Wynn | Chiropractor | 208 W 20th St, Connersville, IN 47331 | 2006-11-01 |
| 1356368104 | Fayette County Government | Clinic/Center | 401 Central Ave, Connersville, IN 47331 | 2006-07-17 |
| 1760437818 | Karl Phillip Greene | Optometrist | 2045 Virginia Avenue, Connersville, IN 47331 | 2006-05-24 |
| 1225098825 | Fayette Memorial Hospital Assoc Inc | Clinic/Center | 3542 N Western Ave, Connersville, IN 47331 | 2006-03-27 |
| 1437118973 | Jereme Shawn Pflum | Chiropractor | 685 S. C.r. 350 W, Connersville, IN 47331 | 2006-03-22 |
| 1649279258 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 281 S County Road 200 E, Connersville, IN 47331 | 2005-07-15 |
| Find all providers in zip 47331 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558330290 | June C Chidester | Dietitian, Registered | 1941 Virginia Ave, Connersville, IN 47331 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
| 1457950099 | Pablo C Torres Aguilar | Dietitian, Registered | 745 Agriculture Mall Dr Ofc B239, West Lafayette, IN 47907-2009 | 2020-10-24 |
| 1669079562 | Michele Murphy Wise | Dietitian, Registered | 5105 Woodmere Ct, Valparaiso, IN 46383-6672 | 2020-10-04 |
| 1760099956 | Jessica Thornton | Dietitian, Registered | 5919 Pine Bluff Dr, Avon, IN 46123-6681 | 2020-09-30 |
| 1194332346 | Nutrition With Megan, LLC | Dietitian, Registered | 1950 East Greyhound Pass, Suite 18 #179, Carmel, IN 46033-7730 | 2020-09-30 |
| 1114533445 | Barissa Larson | Dietitian, Registered | 12192 Hoosier Rd, Fishers, IN 46037-9419 | 2020-09-22 |
| 1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
| 1174138077 | Monica Coffey | Dietitian, Registered | 2673 E 100 N, Anderson, IN 46012-9684 | 2020-09-09 |
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | CONNERSVILLE |
| Zip Code | 47331 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.