IndividualActive
Kristen Waguespack, MS,RD,LDN
NPI 1295699734 · Oncology Nutrition Registered Dietitian · Jefferson, LA
Provider details
- NPI number
- 1295699734
- Entity type
- Individual
- Primary specialty
- Oncology Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS,RD,LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3265 (LA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1515 River Rd
Jefferson, LA 70121-4227
Phone: (504) 203-8620
Approximate (ZIP-level) locationGet directions
Mailing address
101 Theriot Ln
Thibodaux, LA 70301-6711
Additional practice locations (1)
- 101 Theriot LnThibodaux, LA 70301-6711Phone: (985) 790-2888
Registry dates
- Enumerated
- 2025-12-10
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.