MS. AMANDA DIANE WAGNER R.D.
NPI 1467891994
Dietitian, Registered in Tacoma, WA

Active since June 18, 2013
9040 JACKSON AVENUE, TACOMA, WA 98431(352) 968-1631 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Amanda Diane Wagner R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMANDA DIANE WAGNER R.D. (NPI 1467891994) is an individual dietitian, registered in Tacoma, Washington and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1467891994
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. AMANDA DIANE WAGNERCredential: R.D.
Location Address9040 JACKSON AVENUETacoma, WA 98431-7311
Mailing Address5405 Tuckerman Ln Apt 425Rockville, MD 20852-7311 · (301) 400-2702
Sole ProprietorNo
Enumeration DateJune 18, 2013
Last NPPES UpdateAugust 26, 2019
NPI 1467891994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

9040 JACKSON AVENUE, Tacoma, WA 98431

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
9040 JACKSON AVENUE, DEPARTMENT OF PEDIATRICS
FORT LEWIS, WA 98431
Registered Nurse
9040 JACKSON AVENUE
TACOMA, WA 98431
Registered Nurse
9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Registered Nurse
9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Licensed Practical Nurse
9040 JACKSON AVENUE
JBLM, WA 98431
Clinic/Center
9040 JACKSON AVENUE
APO, AA 98431
Registered Nurse (Case Management)
9040 JACKSON AVENUE
TACOMA, WA 98431
Specialist
9040 JACKSON AVENUE
TACOMA, WA 98431
Optometrist
9040 JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 98431
Nurse Practitioner (Family)
9040 JACKSON AVENUE
TACOMA, WA 98431
Internal Medicine
9040 JACKSON AVENUE
TACOMA, WA 98431
Pediatrics
9040 JACKSON AVENUE
TACOMA, WA 98431
Occupational Therapist (Physical Rehabilitation)
9040 JACKSON AVENUE
TACOMA, WA 98431
Internal Medicine
9040 JACKSON AVENUE
TACOMA, WA 98431
Dietitian, Registered
9040 JACKSON AVENUE
TACOMA, WA 98431
Marriage & Family Therapist
9040 JACKSON AVENUE
TACOMA, WA 98431
Case Manager/Care Coordinator
9040 JACKSON AVENUE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVENUE
TACOMA, WA 98431
Clinical Neuropsychologist
9040 JACKSON AVENUE
TACOMA, WA 98431
Registered Nurse (Case Management)
9040 JACKSON AVENUE
TACOMA, WA 98431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467891994, enumerated as an "individual" on June 18, 2013.

The provider is located at 9040 JACKSON AVENUE TACOMA, WA 98431 and the phone number is (352) 968-1631.

Dietitian, Registered with taxonomy code 133V00000X.