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

Kelly Ann Wagner, RD

Individual provider Registered Dietitian · NPI 1689250953

Kelly Ann Wagner, RD is a Registered Dietitian in Chicago, Illinois. Licensed in Illinois and North Carolina. Registered with an NPI since 2021.

Licensed in
IL, NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3530 N Reta Ave Apt 2R
Chicago, IL 60657-6912
Phone: (630) 776-5461
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.007063 (IL)
Registered Dietitian Taxonomy 133V00000X · Licence L006355 (NC)

Record details

NPI number1689250953
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMarch 18, 2021
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021

Other providers in Chicago