NPI 1992550933 · live from the CMS NPI Registry
Amanda Wagner Nutrition PLLC
Dietitian, Registered in Chicago, IL. National Provider Identifier 1992550933, active.
NPI record
| NPI | 1992550933 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4631 N Lincoln Ave, Chicago, IL 60625 |
| Practice phone | 312-884-9706 |
| Enumerated | April 23, 2024 |
| Last updated | January 9, 2026 |
| Authorized official | Amanda Wagner, Owner And Registered Dietitian |
| Other names | Amanda Wagner Nutrition LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.