1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Dietitian Registered
  6. NPI Profile

AMANDA WAGNER NUTRITION PLLC
NPI 1992550933
Dietitian, Registered in Chicago, IL

Active since April 23, 2024
4631 N LINCOLN AVE, CHICAGO, IL 60625(312) 884-9706 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 9, 2026, May 30, 2025, Jul 8, 2024 and 1 more (4 updates tracked since 2024).

About Amanda Wagner Nutrition Pllc NPPES

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

AMANDA WAGNER NUTRITION PLLC (NPI 1992550933), doing business as Amanda Wagner Nutrition Llc, is a healthcare organization registered as a dietitian, registered in Chicago, Illinois and active in the NPI registry since April 2024. The organization lists Amanda Wagner, Owner And Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1992550933
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameAMANDA WAGNER NUTRITION PLLC
Location Address4631 N LINCOLN AVEChicago, IL 60625-2007
Mailing Address4631 N Lincoln AveChicago, IL 60625-2007 · (312) 884-9706
Phone(312) 884-9706
Organization SubpartNo
Authorized OfficialAmanda WagnerOwner And Registered Dietitian · (312) 884-9706
Enumeration DateApril 23, 2024
Last NPPES UpdateJanuary 9, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1992550933 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.
4631 N LINCOLN AVE, Chicago, IL 60625
Open in Google Maps ↗

Other Names 1

Former Legal Business NameAmanda Wagner Nutrition Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

AMANDA WAGNER M.ED, RDN, LDN
Dietitian, Registered
4631 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (312) 884-9706
YOUR KIDNEY DIETITIAN PLLC
Dietitian, Registered
4631 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (224) 725-3530
LONETTE GEORGE
Counselor (Professional)
4631 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (872) 888-2557
THE DIETITIAN RX
Dietitian, Registered
4631 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 231-8130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Wagner Nutrition PLLC's NPI number?

The NPI number for Amanda Wagner Nutrition PLLC is 1992550933. It was assigned to this organization in the NPPES registry on April 23, 2024. The provider was formerly known as Amanda Wagner Nutrition LLC.

Where is Amanda Wagner Nutrition PLLC located?

Amanda Wagner Nutrition PLLC is located at 4631 N Lincoln Ave, Chicago, IL 60625. The listed phone number is (312) 884-9706.

What is Amanda Wagner Nutrition PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Wagner Nutrition PLLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.