MRS. STACY L. WAGNER (NPI# 1932205242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932205242 |
| Entity Type | Individual |
| Full Name | MRS. STACY L. WAGNER |
| Credential | RD LD |
| Practice Address |
110 Memorial Hospital Dr. Huntsville TX 77340 |
| Mailing Address |
Po Box 6175 Huntsville TX 77342-6175 |
| Practice Telephone | 9362914525 |
| Mailing Telephone | 9362911153 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT04058 | TX | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871938548 | Stacy Wagner | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2013-05-07 |
| 1992054431 | Stacy L Wagner | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2012-08-30 |
| 1801188750 | Stacy Wagner | Physical Therapist | 1481 Chapel St, New Haven, CT 06511 | 2011-05-11 |
| 1396949129 | Stacy Marie Wagner | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2007-06-14 |
| Street Address |
110 MEMORIAL HOSPITAL DR. |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| 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 |
|---|---|---|---|---|
| 1528669223 | Andrea Lindsey Tait | Dietitian, Registered | 1305 Hearthwood Cir Se, Huntsville, AL 35803-2447 | 2020-11-08 |
| 1073113999 | Katherine Stumb | Dietitian, Registered | 213 Westmoreland Ave Se, Huntsville, AL 35801-2727 | 2020-10-29 |
| 1124648944 | Dawn Gooch Hall | Dietitian, Registered | 49 Castle Downs Drive, Huntsville, AL 35802-1293 | 2020-04-22 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1306270814 | Amy U. Seymour | Dietitian, Registered | 1309 Chandler Rd Se, Huntsville, AL 35801-1405 | 2013-09-03 |
| 1144519786 | Rachael S Martin | Dietitian, Registered | 603 Ward Ave Ne, Huntsville, AL 35801-6332 | 2011-04-05 |
| 1831416213 | Ruth Hartje Albro | Dietitian, Registered | 105 River Mill Rd, Huntsville, AL 35811-8093 | 2010-04-26 |
| 1295973303 | Claudia Sandra Alcock-follette | Dietitian, Registered | 1101 Mcmurtrie Dr Nw, Suite C4, Huntsville, AL 35806-1778 | 2009-01-27 |
| 1649427923 | Anna Holland | Dietitian, Registered | 101 Sively Road, Huntsville, AL 35801 | 2008-08-19 |
| 1033305859 | Pamela Elise Glover | Dietitian, Registered | 201 Sivley Rd Sw Ste 210, Diabetes Control Center, Huntsville, AL 35801-5116 | 2007-09-16 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
Please comment or provide details below to improve the information on MRS. STACY L. WAGNER.
| 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.