MS. MARY ELISE WALLACE MSRD/LD
NPI 1013451608
Dietitian, Registered in Rockwall, TX

Q: What is Mary Wallace's NPI number?

The NPI number for Mary Wallace is 1013451608. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Q: What is Mary Wallace'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 Mary Wallace was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 15, 2016

6705 HERITAGE PKWY STE 104, ROCKWALL, TX 75087(972) 412-7700 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2021, Dec 15, 2016 (2 updates tracked since 2016).

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About Ms. Mary Elise Wallace Msrd/ld NPPES

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

MS. MARY ELISE WALLACE MSRD/LD (NPI 1013451608) is an individual dietitian, registered in Rockwall, Texas, licensed in Texas (DT03189) and active in the NPI registry since December 2016. She maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1013451608

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. MARY ELISE WALLACECredential: MSRD/LD

Location Address6705 HERITAGE PKWY STE 104Rockwall, TX 75087-8729

Mailing AddressPo Box 127Rockwall, TX 75087-0127 · (972) 412-7700 · Fax (972) 412-7710

Phone(972) 412-7700

Sole ProprietorNo

Enumeration DateDecember 15, 2016

Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration

NPPES CertifiedAugust 12, 2021

✔ NPI 1013451608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in TX · DT03189

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.

6705 HERITAGE PKWY STE 104, Rockwall, TX 75087

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Secondary Practice Location 1

Location 13600 Gaston Ave, Suite 656Dallas, TX 75246-1800 · Phone (214) 820-3896

Other Providers at the Same Location NPPES 5

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

DAVID W. RITTER, M.D., P.A.

Surgery