JEAN D. WAGNER (NPI# 1992723464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992723464 |
| Entity Type | Individual |
| Full Name | JEAN D. WAGNER |
| Credential | RD |
| Practice Address |
411 Lincoln St Neenah WI 54956-2753 |
| Practice Telephone | 9207274299 |
| Mailing Telephone | 9207274299 |
| Enumeration Date | 2006-07-17 |
| 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 | 641-029 | WI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902909153 | Jean Evelyn Vogel Wagner | Pediatrics | 1230 George E Chance Parkway, Caseyville, IL 62232 | 2006-09-06 |
| 1730629361 | Jean Marie Wagner | Marriage & Family Therapist | 7580 160th St W, Lakeville, MN 55044-8348 | 2017-03-01 |
| 1801114012 | Jean Wagner | Naturopath | 425 S Main St, Ste. 201, Rochester, MI 48307-6729 | 2010-05-12 |
| 1972577153 | Jean A Wagner | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-15 |
| Street Address |
411 LINCOLN ST |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799779 | Paul B Mcavoy | Internal Medicine | 411 Lincoln St, Neenah, WI 54956-2753 | 2005-09-07 |
| 1205268398 | Laura L Davis | Nurse Practitioner | 411 Lincoln St, Neenah, WI 54956-2753 | 2013-07-31 |
| 1093157349 | Affinity Health System | Clinic/Center | 411 Lincoln St, Neenah, WI 54956-2753 | 2013-07-26 |
| 1356691240 | Andrea L Verhagen | Nurse Practitioner | 411 Lincoln St, Neenah, WI 54956-2753 | 2012-09-18 |
| 1497024772 | Nina M. Heinzen | Physician Assistant | 411 Lincoln St, Neenah, WI 54956-2753 | 2011-12-15 |
| 1578795407 | Mary K Heimmermann | Nurse Practitioner | 411 Lincoln St, Network House Calls, Neenah, WI 54956-2753 | 2009-08-11 |
| 1992936496 | Debra Schmidt | Nurse Practitioner | 411 Lincoln St, Neenah, WI 54956-2753 | 2009-07-31 |
| 1215995733 | Sara J Wagner | Registered Nurse | 411 Lincoln St, Neenah, WI 54956 | 2006-05-03 |
| 1972591642 | Linda Mangin | Registered Nurse | 411 Lincoln St, Neenah, WI 54956-2753 | 2005-10-07 |
| 1306833066 | Carol A Keberlein | Nurse Practitioner | 411 Lincoln St, Neenah, WI 54956-2753 | 2005-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| 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 |
|---|---|---|---|---|
| 1396258257 | Kristie Butler | Dietitian, Registered | 419 Park Dr, Neenah, WI 54956-2858 | 2017-11-13 |
| 1730564469 | Stephanie Lynn Hall | Dietitian, Registered | 1009 E Forest Ave, Neenah, WI 54956-2903 | 2015-07-23 |
| 1770986036 | Alexander Dassow | Dietitian, Registered | 3003 Breezewood Ln, Neenah, WI 54956-9611 | 2014-10-01 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1295922219 | Jennifer M Stielow | Dietitian, Registered | 685 Firefly Ln, Neenah, WI 54956-3580 | 2007-10-03 |
| 1255731790 | Nicole Beyer | Dietitian, Registered | 130 2nd St, Neenah, WI 54956-2883 | 2014-09-03 |
| 1942516208 | Gina M Parolini | Dietitian, Registered | 130 2nd St, Neenah, WI 54956-2883 | 2010-08-25 |
| 1801011127 | Lynn M Abitz | Dietitian, Registered | 130 2nd St, Neenah, WI 54956-2883 | 2007-04-13 |
| 1275663882 | Mary E Siemek | Dietitian, Registered | 130 2nd St, Neenah, WI 54956-2883 | 2007-03-06 |
| 1144355751 | Lori Lynn Knapp | Dietitian, Registered | 130 Second Street, Neenah, WI 54957-2021 | 2007-02-22 |
| Find all providers in NEENAH | ||||
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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.