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

MS. Connie Jean Wildt, RD, LD

Individual provider Registered Dietitian · NPI 1356583504

MS. Connie Jean Wildt, RD, LD is a Registered Dietitian in St. Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2009
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

615 S New Ballas Rd
St. Louis, MO 63141-8221
Phone: (314) 251-4998
Fax: (314) 251-7247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2001024181 (MO)

Record details

NPI number1356583504
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorYes
NPI enumeratedApril 2, 2009
Last updated in NPPESApril 2, 2009

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