KAIDY WALLACE RDN
NPI 1285346452
Dietitian, Registered in Manchester, NH

Active since December 20, 2022
12 INGALLS ST, MANCHESTER, NH 03102(401) 743-0906 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2025, Dec 20, 2022 (2 updates tracked since 2022).

About Kaidy Wallace Rdn NPPES

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

KAIDY WALLACE RDN (NPI 1285346452) is an individual dietitian, registered in Manchester, New Hampshire and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1285346452
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKAIDY WALLACECredential: RDN
Location Address12 INGALLS STManchester, NH 03102-4644
Mailing Address12 Ingalls StManchester, NH 03102-4644 · (401) 743-0906
Sole ProprietorNo
Enumeration DateDecember 20, 2022
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
NPI 1285346452 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.

12 INGALLS ST, Manchester, NH 03102

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 Kaidy Wallace's NPI number?

The NPI number for Kaidy Wallace is 1285346452. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Where is Kaidy Wallace located?

Kaidy Wallace practices at 12 Ingalls St, Manchester, NH 03102. The listed phone number is (401) 743-0906.

What is Kaidy Wallace'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 Kaidy Wallace was last updated on August 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.