MRS. GRETCHEN COLEMAN WALLACE MS, RD, LD, CD
NPI 1023535440
Dietitian, Registered in St. Louis, MO
- Individual
- Female
- Dietitian, Registered
- Accepts Insurance
About GRETCHEN WALLACE
This page provides the complete NPI Profile along with additional information for Gretchen Wallace, a provider established in St. Louis, Missouri with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1023535440 assigned on August 2017. The practitioner's primary taxonomy code is 133V00000X with license number DI60956654 (WA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1023535440 Verify this NPI
- Provider Name
- MRS. GRETCHEN COLEMAN WALLACE MS, RD, LD, CD
- Other Name
- GRETCHEN MARIE COLEMAN
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6 CARDINAL WAY SUITE 900 ST. LOUIS, MO 63102
- Location Phone
- (360) 209-2075
- Location Fax
- (206) 681-9640
- Mailing Address
- 6 CARDINAL WAY STE 900 ST. LOUIS, MO 63102
- Mailing Phone
- (360) 209-2075
- Mailing Fax
- (206) 681-9640
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-25-2017
- Last Update Date
- 11-08-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- DI60956654
- License State
- WA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 2023005984 (MO) |
| 2 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 3 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 10235828 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MRS. GRETCHEN COLEMAN WALLACE MS, RD, LD, CD
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023535440, enumerated as an "individual" on August 25, 2017.
The provider is located at 6 CARDINAL WAY SUITE 900 ST. LOUIS, MO 63102 and the phone number is (360) 209-2075.
Dietitian, Registered with taxonomy code 133V00000X.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
