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MRS. GRETCHEN COLEMAN WALLACE MS, RD, LD, CD
NPI 1023535440
Dietitian, Registered in St. Louis, MO

Active since August 25, 2017
6 CARDINAL WAY, SUITE 900, ST. LOUIS, MO 63102(360) 209-2075(206) 681-9640 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2023, Aug 25, 2017 (2 updates tracked since 2017).

About Mrs. Gretchen Coleman Wallace Ms, Rd, Ld, Cd NPPES

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

MRS. GRETCHEN COLEMAN WALLACE MS, RD, LD, CD (NPI 1023535440) is an individual dietitian, registered in St. Louis, Missouri, licensed in Washington (DI60956654) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1023535440
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. GRETCHEN COLEMAN WALLACECredential: MS, RD, LD, CD
Location Address6 CARDINAL WAY, SUITE 900St. Louis, MO 63102
Mailing Address6 Cardinal Way Ste 900St. Louis, MO 63102 · (360) 209-2075 · Fax (206) 681-9640
Phone(360) 209-2075
Fax(206) 681-9640
Sole ProprietorYes
Enumeration DateAugust 25, 2017
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
✔ NPI 1023535440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in WA · DI60956654✔ Licensed in MO · 2023005984✔ Licensed in OR · 10235828
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.
6 CARDINAL WAY, St. Louis, MO 63102
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Other Names 1

Former Name (1)Gretchen Marie Coleman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

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

JAMARION J JOHNSON
In Home Supportive Care
6 CARDINAL WAY, UNIT 900
ST. LOUIS, MO 63102
St. Louis City (314) 665-8522
EVEREST HEALTH CARE SERVICES LLC
Home Health
6 CARDINAL WAY, UNIT 900
SAINT LOUIS, MO 63102
St. Louis City (314) 665-8522

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 Gretchen Wallace's NPI number?

The NPI number for Gretchen Wallace is 1023535440. It was assigned to this individual provider in the NPPES registry on August 25, 2017. The provider is also known as Gretchen Marie Coleman.

Where is Gretchen Wallace located?

Gretchen Wallace practices at 6 Cardinal Way Suite 900, St. Louis, MO 63102. The listed phone number is (360) 209-2075.

What is Gretchen Wallace's specialty?

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

What insurance does Gretchen Wallace accept?

Health plans from Providence Health Plan list Gretchen Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gretchen Wallace was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.