ELIZABETH WAGNER (NPI# 1134302565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134302565 |
| Entity Type | Individual |
| Full Name | ELIZABETH WAGNER |
| Credential | RD, CCN |
| Practice Address |
1224 10th St Ste 207 Coronado CA 92118-3420 |
| Practice Telephone | 6194376600 |
| Practice Fax Number | 6194376603 |
| Mailing Telephone | 6194376600 |
| Mailing Fax Number | 6194376603 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2011-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215290465 | Elizabeth Ann Wagner | Music Therapist | 200 E. Curry Rd, 307c, Tempe, AZ 85281 | 2012-06-22 |
| 1104095306 | Elizabeth Forsythe Wagner | Physical Therapist | 11590 W Bernardo Ct Ste 100, San Diego, CA 92127-1624 | 2008-02-21 |
| 1306062922 | Elizabeth Wagner | Counselor | 105 N Fair St, Champaign, IL 61821 | 2007-04-18 |
| 1285270512 | Elizabeth Clair Wagner | Behavior Technician | 8815 S Tacoma Way Ste 122, Lakewood, WA 98499-7011 | 2019-11-21 |
| 1174096481 | Elizabeth Wagner | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-01-09 |
| 1689158297 | Elizabeth Bramlish Wagner | Social Worker | 299 Cramer Creek Ct, Dublin, OH 43017-2586 | 2018-09-19 |
| 1003392044 | Elizabeth Bailey Wagner | Occupational Therapist | 7161 W Q Ave, Kalamazoo, MI 49009-5951 | 2018-07-12 |
| 1831629336 | Elizabeth Stanton Wagner | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-15 |
| 1386092336 | Elizabeth Ann Wagner | Nurse Practitioner | 222 S Woods Mill Rd Ste 500n, Chesterfield, MO 63017-3640 | 2016-06-01 |
| 1568822559 | Elizabeth Wagner | Community Health Worker | 8771 Westpointe Dr, Indianapolis, IN 46231-1169 | 2016-03-03 |
| Street Address |
1224 10TH ST STE 207 |
| City | CORONADO |
| State | CA |
| Zip Code | 92118-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997643 | Natalie Bailey | Dentist | 1010 8th St Ste A, Coronado, CA 92118 | 2018-06-26 |
| 1639661143 | Rebecca L. Frazier | Acupuncturist | 543 Orange Ave., Coronado, CA 92118 | 2018-05-31 |
| 1376046201 | Laura Mead Clapper | Pediatrics | 840 Adella Ave, Coronado, CA 92118 | 2018-03-16 |
| 1154836336 | Sarah R Peck | Occupational Therapy Assistant | 1530 Da Nang Dr Apt C, Coronado, CA 92118 | 2017-12-09 |
| 1962921395 | Jennifer Waidelich | Physical Therapist | 410 E Ave, Coronado, CA 92118 | 2017-09-18 |
| 1861843641 | Cliff Lovick I | Counselor | 1522 Frist St. Apt M 106, Coronada, CA 92118 | 2016-06-23 |
| 1184004871 | Melanie Villalobos | Dentist | 1001 B Ave #313, Coronado, CA 92118 | 2015-06-08 |
| 1801273479 | Jacqueline Brogan | Dermatology | 230 Prospect Pl Ste 260, Coronado, CA 92118 | 2015-05-02 |
| 1790184083 | Robert Cole Dunlap | Optometrist | 810 J Avenue, Coronado, CA 92118 | 2014-08-22 |
| 1235493602 | Jin Ah | Acupuncturist | 2425 Camino De Rio South, Suite 180, San Diego, CA 92118 | 2012-06-29 |
| Find all providers in zip 92118 | ||||
| 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 |
|---|---|---|---|---|
| 1609413863 | Valerie Rose Hagemann | Dietitian, Registered | 2 Antigua Ct, Coronado, CA 92118-3317 | 2019-12-06 |
| 1285990796 | Marnya Douglass | Dietitian, Registered | 1151 Palau Rd, Coronado, CA 92118-3119 | 2012-04-09 |
| 1417003880 | Barbara Ellen Bauer | Dietitian, Registered | 230 Prospect Pl, Coronado, CA 92118-1978 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083448 | Fuad Al Qudsi | Dietitian, Registered | 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 | 2020-11-08 |
| 1700487535 | Katherine Zanville | Dietitian, Registered | 4928 Bellaire Ave, Valley Village, CA 91607-3419 | 2020-11-06 |
| 1760083711 | Gabriela E Zeagler | Dietitian, Registered | 1522 Halifax Way, El Dorado Hills, CA 95762-5841 | 2020-11-05 |
| 1427659796 | Yun Chieh Huang | Dietitian, Registered | 733 W Naomi Ave, Arcadia, CA 91007-7561 | 2020-11-03 |
| 1497356794 | Jelena Etemovic | Dietitian, Registered | 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 | 2020-11-03 |
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1912507708 | Eileen Hsiung | Dietitian, Registered | 830 Polaris Dr, Tustin, CA 92782-1720 | 2020-10-29 |
| 1912507831 | Aneeta Maria Vedula | Dietitian, Registered | 4371 Lombard Ave, Fremont, CA 94536-4929 | 2020-10-29 |
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1952901373 | Rubit Quintero-cobian | Dietitian, Registered | 3557 Willis Dr, Napa, CA 94558-2452 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.