Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Anne Wagner, RDN

Individual provider Registered Dietitian · NPI 1336865104

Jennifer Anne Wagner, RDN is a Registered Dietitian OR Nutrition Professional in Largo, Florida. Qualified in 2022, 4 years ago. Works from 6 locations. Licensed in Arizona, Florida, North Carolina and Texas and 1 more.

Years since qualifying
4
Licensed in
AZ, FL, NC, TX, VA
In the registry since
2022
Specialties on file
6
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

13801 Walsingham Rd # A-164
Largo, FL 33774-3237
Phone: (206) 226-1664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 655 E River Rd Unit 201, Tucson, AZ 85704-5853 — (206) 895-4292
  • 5323 4th Avenue Cir E, Bradenton, FL 34208-5623 — (206) 895-4292
  • 200 Perimeter Park Dr Ste C, Morrisville, NC 27560-9714 — (206) 895-4292
  • 6100 Harris Pkwy Ste 140, Fort Worth, TX 76132-4130 — (206) 895-4292
  • 828 Healthy Way Ste 330, Virginia Beach, VA 23462-7959 — (206) 895-4292

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 11315 (FL)
Registered Dietitian Taxonomy 133V00000X · Licence DT90667 (TX)
Registered Dietitian Taxonomy 133V00000X (VA)
Registered Dietitian Taxonomy 133V00000X
Registered Dietitian Taxonomy 133V00000X · Licence L008231 (NC)
Registered Dietitian Taxonomy 133V00000X (AZ)

Record details

NPI number1336865104
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedOctober 13, 2022
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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