MICHELLE KERRY WAGNER RD
NPI 1932865524
Dietitian, Registered in Riverside, CA

Q: What is Michelle Wagner's NPI number?

The NPI number for Michelle Wagner is 1932865524. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Michelle Wagner's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Wagner was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2021

4210 RIVERWALK PKWY STE 400, RIVERSIDE, CA 92505(951) 766-2444 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michelle Kerry Wagner Rd NPPES

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

MICHELLE KERRY WAGNER RD (NPI 1932865524) is an individual dietitian, registered in Riverside, California and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1932865524

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMICHELLE KERRY WAGNERCredential: RD

Location Address4210 RIVERWALK PKWY STE 400Riverside, CA 92505-3313

Mailing Address9757 Kehl Canyon RdCherry Valley, CA 92223-3502 · (951) 966-5375

Phone(951) 766-2444

Sole ProprietorNo

Enumeration DateNovember 9, 2021

NPPES CertifiedNovember 9, 2021

✔ NPI 1932865524 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.

4210 RIVERWALK PKWY STE 400, Riverside, CA 92505

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE VARELA

Dietitian, Registered