IndividualActive
Jody Wagner
NPI 1669860409 · Registered Dietitian · Derby, CT
Jody Wagner is a Registered Dietitian provider in Derby, CT (NPI 1669860409).
Provider details
- NPI number
- 1669860409
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 001295 (CT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 Division St
Derby, CT 06418-1326
Phone: (860) 478-8695
Approximate (ZIP-level) locationGet directions
Mailing address
130 Division St
Derby, CT 06418-1326
Registry dates
- Enumerated
- 2015-01-01
- Last updated
- 2015-01-01
Frequently asked questions
- What is Jody Wagner's NPI number?
- Jody Wagner's National Provider Identifier (NPI) is 1669860409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jody Wagner's specialty?
- Jody Wagner is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jody Wagner located?
- Jody Wagner's practice location on file with NPPES is 130 Division St, Derby, CT 06418-1326.
- What is Jody Wagner's phone number?
- The practice phone number listed in the NPPES registry for Jody Wagner is (860) 478-8695.
- Is Jody Wagner's NPI active?
- Yes — Jody Wagner's NPI (1669860409) is active in the NPPES registry as of the last update on 2015-01-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.