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

Jody Wagner

Individual provider Registered Dietitian · NPI 1669860409

Jody Wagner is a Registered Dietitian in Derby, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2015

Practice location Address checks out

130 Division St
Derby, CT 06418-1326
Phone: (860) 478-8695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 001295 (CT)

Record details

NPI number1669860409
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 1, 2015
Last updated in NPPESJanuary 1, 2015
Mailing address130 Division St, Derby, CT 06418-1326

Other providers in Derby