STEPHANIE L WAGNER (NPI# 1881125631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881125631 |
| Entity Type | Individual |
| Full Name | STEPHANIE L WAGNER |
| Other Name | STEPHANIE STENZEL |
| Credential | RDN, LDN |
| Practice Address |
10400 Haligus Rd Huntley IL 60142-9553 |
| Mailing Address |
8983 Nicole Pl Belvidere IL 61008-8530 |
| Practice Telephone | 2246540389 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164006890 | IL | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2404 Charles St, Rockford, IL 611081602 | 6082657090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169918 | Stephanie Ann Wagner | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Suite502, Baltimore, MD 21239-2945 | 2019-02-04 |
| 1538633797 | Stephanie L Wagner | Massage Therapist | 1106 W Market St, York, PA 17404-3414 | 2019-01-21 |
| 1417466301 | Stephanie Wagner | Doula | 23 Abbey Ln Nw, Cartersville, GA 30120-7739 | 2017-09-24 |
| 1427412733 | Stephanie Lynn Wagner | Registered Nurse | 181 E 119th St Apt 8b, New York, NY 10035-4080 | 2016-04-12 |
| 1922346964 | Stephanie Wagner | Nurse Practitioner | 77 Bayview St, Belfast, ME 04915-6709 | 2013-01-25 |
| 1851928881 | Stephanie Bing Wagner | Pediatrics | 593 Eddy St, Providence, RI 02903 | 2020-03-27 |
| 1386120731 | Stephanie Wagner | Social Worker | 403 Stoney Landing Rd, Moncks Corner, SC 29461-3967 | 2018-07-18 |
| 1922591361 | Stephanie Wagner | Rehabilitation Practitioner | 43520 Division St, Lancaster, CA 93535-4089 | 2018-06-11 |
| 1477065472 | Stephanie Wagner | Occupational Therapist | 4562 Westinghouse St Ste A, Ventura, CA 93003-5797 | 2017-10-30 |
| 1487177812 | Stephanie Lynn Wagner | Behavior Technician | 452 N Eola Rd, Aurora, IL 60502-9612 | 2017-07-18 |
| Street Address |
10400 HALIGUS RD |
| City | HUNTLEY |
| State | IL |
| Zip Code | 60142-9553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447221767 | Hetal B Patel | Emergency Medicine | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2006-01-27 |
| 1174123798 | Kenneth Rowe | Pharmacist | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2020-11-01 |
| 1497302657 | Kristen M Zdany | Hospitalist | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2019-08-22 |
| 1558913525 | Shelby Voss | Dietitian, Registered | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2019-07-10 |
| 1013472455 | Shay L Ward | Nurse Practitioner | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2019-02-08 |
| 1790231710 | Questcare Obstetrics of Illinois, LLC | Obstetrics & Gynecology | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2016-08-30 |
| 1639526320 | Christopher Ring | Emergency Medicine | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2016-05-23 |
| 1578958187 | Megan Carey | Dietitian, Registered | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2015-03-31 |
| 1598016768 | Amanda Rachel Seeber | Physician Assistant | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2012-09-27 |
| 1972886257 | Krista M Labno | Pharmacist | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2011-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1881201895 | Activefit Physical Therapy and Personal Training | Physical Therapist | 12172 S. Route 47, #125, Huntley, IL 60142 | 2020-09-24 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| 1427689744 | Gilberts Evolve LLC | Chiropractor | 9738 Illinois Hwy 47, Huntley, IL 60142 | 2020-01-27 |
| 1790332898 | Mary Casper | Technician | 12829 Mesa St, Huntley, IL 60142 | 2019-08-22 |
| 1437719838 | Faith A Furst | Student in an Organized Health Care Education/Training Program | 12300 Il-47, Huntley, IL 60142 | 2019-06-18 |
| 1578046934 | Shelby Osterberg | Physical Therapist | 12112 S Rt 47, Huntley, IL 60142 | 2018-09-12 |
| 1801378229 | Emilyn Pollack | Nurse Practitioner | 9850 Grimley, Huntley, IL 60142 | 2018-09-01 |
| 1215452537 | Jennifer Amanda Baudin | Occupational Therapy Assistant | 10580 Oakland Ct, Huntley, IL 60142 | 2017-08-08 |
| 1902336555 | Tyler J Wylde | Dentist | 12222 Il-47, Huntley, IL 60142 | 2017-06-15 |
| Find all providers in zip 60142 | ||||
| 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 |
|---|---|---|---|---|
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1467051912 | Olive Branch Nutrition | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-25 |
| 1558913525 | Shelby Voss | Dietitian, Registered | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2019-07-10 |
| 1801322441 | Richelle Gomez | Dietitian, Registered | 10350 Haligus Rd Ste 200, Huntley, IL 60142 | 2017-05-02 |
| 1437522810 | Mary Jo B Winkenwerder | Dietitian, Registered | 10450 Algonquin Rd, Huntley, IL 60142-7064 | 2015-11-05 |
| 1578958187 | Megan Carey | Dietitian, Registered | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2015-03-31 |
| 1891183109 | Jamie Patel | Dietitian, Registered | 10350 Haligus Rd Ste 220, Huntley, IL 60142 | 2015-01-08 |
| 1316364367 | Anne Borris | Dietitian, Registered | 10350 Haligus Rd Ste 220, Huntley, IL 60142 | 2014-03-27 |
| 1932489630 | Betsy Felde | Dietitian, Registered | 10350 Haligus Rd Ste 220, Huntley, IL 60142 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
| 1164039384 | Katie M Schmidt | Dietitian, Registered | 17 W 56th St, Westmont, IL 60559-2301 | 2020-09-30 |
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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.