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

Jody Wagner

Individual provider Registered Dietitian · NPI 1669860409

Jody Wagner is a Registered Dietitian in Derby, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2015
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Practice location Address checks out

130 Division St
Derby, CT 06418-1326
Phone: (860) 478-8695
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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 001295 (CT)

Record details

NPI number1669860409
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 1, 2015
Last updated in NPPESJanuary 1, 2015

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