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

Samantha Wagner, RDN

Individual provider Registered Dietitian · NPI 1942912019

Samantha Wagner, RDN is a Registered Dietitian OR Nutrition Professional in Colorado Springs, Colorado. Qualified in 2020, 6 years ago. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2022
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

2960 N Circle Dr Ste 200
Colorado Springs, CO 80909-1163
Phone: (719) 634-8891
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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 86289910 (CO)

Record details

NPI number1942912019
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedDecember 20, 2022
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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