MRS. KAREN ELIZABETH WAGNER


Address: 9126 Blue Grass Rd Ste 101, Philadelphia, PA 19114-3202
Phone: 2155528331

MRS. KAREN ELIZABETH WAGNER (NPI# 1023415924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023415924
Entity Type Individual
Full Name MRS. KAREN ELIZABETH WAGNER
Credential MS, RD, CSO, LDN
Practice Address 9126 Blue Grass Rd Ste 101
Philadelphia
PA 19114-3202
Practice Telephone 2155528331
Practice Fax Number 2155528336
Mailing Telephone 2155528331
Mailing Fax Number 2155528336
Enumeration Date 2014-11-21
Last Update Date 2014-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DN003760 PA Dietary & Nutritional Service Providers

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1992054928 Karen L Wagner Counselor 212 11th St S, La Crosse, WI 54601-4397 2012-09-05
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Office Location

Street Address 9126 BLUE GRASS RD STE 101
City PHILADELPHIA
State PA
Zip Code 19114-3202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1215419080 Thomas Patrick Gallagher Specialist/Technologist 2708 Ruth Way, Philadelphia, PA 19114 2018-08-29
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932716685 Nicole Behner Dietitian, Registered 1824 Stanwood St, Philadelphia, PA 19152-2619 2020-09-28
1235743048 Lauren Davidheiser Dietitian, Registered 2212 Almond St, Philadelphia, PA 19125-3605 2020-08-31
1730799222 Hannah Pfohl Dietitian, Registered 1136 N American St Unit 114, Philadelphia, PA 19123-1677 2020-08-09
1851901771 Laura Michelle Cresta Dietitian, Registered 1030 N 2nd St Unit 303, Philadelphia, PA 19123-1595 2020-08-05
1386253318 Porrazza Nutrition LLC Dietitian, Registered 2417 Welsh Rd Ste 21118, Philadelphia, PA 19114-2213 2020-07-27
1326665464 Michelle Giacometti Dietitian, Registered 442 Naomi St, Philadelphia, PA 19128-3618 2020-07-05
1649897026 Jennifer Andia Warshaw Dietitian, Registered 408 Regatta Dr, Philadelphia, PA 19146-5247 2020-07-01
1437774890 Kylie Anne Mckenzie Dietitian, Registered 800 Admirals Way Unit 1841, Philadelphia, PA 19146-5241 2020-06-11
1063049914 Kaitlyn Marie Willwerth Dietitian, Registered 350 S 15th St, Philadelphia, PA 19102-4919 2020-03-23
1134751522 Anabelle Harari Clebaner Dietitian, Registered 9211 Ambassador Pl Fl 2, Philadelphia, PA 19115-4610 2020-02-04
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Competitor

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City PHILADELPHIA
Zip Code 19114

Improve Information

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Dataset Information

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.

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