JULIE WAGNER (NPI# 1265444517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265444517 |
| Entity Type | Individual |
| Full Name | JULIE WAGNER |
| Credential | R.D. |
| Practice Address |
4100 W 3rd St Dayton Vamc 120 Dayton OH 45428-9000 |
| Mailing Address |
11781 Zeller Dr New Carlisle OH 45344-8917 |
| Practice Telephone | 9372686511 |
| Practice Fax Number | 9372625967 |
| Enumeration Date | 2006-08-13 |
| 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 | LD.4812 | OH | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851714042 | Julie Wagner | Speech-Language Pathologist | 551 S Richardson Ave, Columbus, OH 43204-3172 | 2014-01-24 |
| 1033393269 | Julie M. Wagner | Physician Assistant | 3471 5th Avenue, 1110, Pittsburgh, PA 15213-3221 | 2007-12-24 |
| 1811939895 | Julie A Wagner | Internal Medicine | 14a Mount Carmel Rd, Parkton, MD 21120-9721 | 2006-06-12 |
| 1407103765 | Julie Wagner | Counselor | 10700 Montgomery Rd, #206, Cincinnati, OH 45242-3255 | 2012-08-06 |
| 1447546650 | Julie M Wagner | Physical Therapist | 900 W Baltimore Pike, Suite 103, West Grove, PA 19390-9313 | 2011-06-27 |
| 1528264496 | Julie Ann Wagner | Occupational Therapy Assistant | 218 Elm St, London, OH 43140-2130 | 2007-06-26 |
| 1265658165 | Julie Elaine Wagner | Speech-Language Pathologist | 455 N 3rd St, Suite 200, Phoenix, AZ 85004-3924 | 2007-04-18 |
| 1093869711 | Julie Ann Wagner | Nurse Practitioner | 800 E 28th St, Suite H2100, Minneapolis, MN 55407-3723 | 2007-01-22 |
| 1295891117 | Julie A. Wagner | Psychologist | John Dempsey Hospital, 263 Farmington Avenue, Mc-3910, Farmington, CT 06030-0001 | 2006-12-28 |
| 1154385151 | Julie C Wagner | Family Medicine | 501 S White St, Suite 1, Mt Pleasant, IA 52641-2600 | 2006-04-14 |
| Street Address |
4100 W 3RD ST DAYTON VAMC 120 |
| City | DAYTON |
| State | OH |
| Zip Code | 45428-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496549 | Andrew T Su | Internal Medicine | 4100 W 3rd St, Dayton, OH 45428-9000 | 2005-06-09 |
| 1578162038 | Olivia Marie Falter | Audiologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-25 |
| 1295334084 | Sarah M Miller | Music Therapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-22 |
| 1366049918 | Chadwick Ryan Watiker | Social Worker | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-07 |
| 1174137301 | Danielle Marie Pike | Psychologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-09-04 |
| 1497368856 | Dinah Callender | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-08-26 |
| 1801405352 | Alice Wei Ho | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-29 |
| 1801413356 | Sarah Teresa Hierath | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-01 |
| 1942823349 | Sloane Rudolf | Optometrist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-20 |
| 1720600331 | James Douglas Boodt | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| 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 |
|---|---|---|---|---|
| 1972111813 | Nada Ismail | Dietitian, Registered | 81 Larry Ct, Dayton, NJ 08810-1313 | 2020-07-16 |
| 1457974537 | Elizabeth Rae Beil | Dietitian, Registered | 400 E 5th St Ste A, Dayton, OH 45402-2963 | 2020-05-22 |
| 1881215598 | Erin Michelle Seiter | Dietitian, Registered | 2831 Kingston Ave, Dayton, OH 45420-2625 | 2020-05-04 |
| 1508417155 | Natalia Calzada | Dietitian, Registered | 68 Green St, Dayton, OH 45402-2833 | 2019-09-25 |
| 1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
| 1336403088 | Martha Kay Grodrian | Dietitian, Registered | 953 Gardner Rd, Dayton, OH 45429-4520 | 2012-06-27 |
| 1235455742 | Alberta M Scruggs | Dietitian, Registered | 4415 Dayton Liberty Rd, Dayton, OH 45417-5903 | 2010-04-09 |
| 1265670459 | Divina R. Welch | Dietitian, Registered | 5437 Flicker Way, Dayton, OH 45424-4526 | 2009-01-27 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1588823306 | Dorothy W Clarke | Dietitian, Registered | 405 W Grand, Dayton, OH 45405 | 2008-06-06 |
| Find all providers in DAYTON | ||||
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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.