MRS. CATHERINE WALLACE
NPI 1477244077
Dietitian, Registered in Jacksonville Beach, FL

Active since May 16, 2023
1320 ROBERTS DR, JACKSONVILLE BEACH, FL 32250(904) 477-9882 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Catherine Wallace NPPES

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

MRS. CATHERINE WALLACE (NPI 1477244077) is an individual dietitian, registered in Jacksonville Beach, Florida, licensed in Florida (ND4727) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1477244077
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. CATHERINE WALLACE
Location Address1320 ROBERTS DRJacksonville Beach, FL 32250-3253
Mailing Address709 4th Ave NJacksonville Beach, FL 32250-4527 · (904) 477-9882
Sole ProprietorNo
Enumeration DateMay 16, 2023
NPPES CertifiedMay 16, 2023
NPI 1477244077 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 FL · ND4727
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.
1320 ROBERTS DR, Jacksonville Beach, FL 32250

Other Providers at the Same Location NPPES 6

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

Physical Therapist
1320 ROBERTS DR
JACKSONVILLE BEACH, FL 32250
General Acute Care Hospital
1320 ROBERTS DR
JACKSONVILLE BEACH, FL 32250
Occupational Therapist
1320 ROBERTS DR
JACKSONVILLE BEACH, FL 32250
Family Medicine
1320 ROBERTS DR
JACKSONVILLE BEACH, FL 32250
Internal Medicine (Cardiovascular Disease)
1320 ROBERTS DR
JACKSONVILLE BEACH, FL 32250
Dietitian, Registered
1320 ROBERTS DR
JACKSONVILLE BEACH, FL 32250

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 Catherine Wallace's NPI number?

The NPI number for Catherine Wallace is 1477244077. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Catherine Wallace located?

Catherine Wallace practices at 1320 Roberts Dr, Jacksonville Beach, FL 32250. The listed phone number is (904) 477-9882.

What is Catherine 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 Catherine Wallace was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.