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KELLI B WALLACE RD
NPI 1508551433
Dietitian, Registered in Clayton, NC

Active since April 06, 2023
2138 NC HIGHWAY 42 W, CLAYTON, NC 27520(919) 585-8777 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelli B Wallace Rd NPPES

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

KELLI B WALLACE RD (NPI 1508551433) is an individual dietitian, registered in Clayton, North Carolina, licensed in North Carolina (004064) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1508551433
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLI B WALLACECredential: RD
Location Address2138 NC HIGHWAY 42 WClayton, NC 27520-5300
Mailing Address2138 Nc Highway 42 WClayton, NC 27520-5300 · (919) 585-8777
Phone(919) 585-8777
Sole ProprietorNo
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1508551433 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 NC · 004064
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.
2138 NC HIGHWAY 42 W, Clayton, NC 27520
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Other Providers at the Same Location NPPES

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

MRS. LINDSEY BARRETT OLIVE PA-C
Physician Assistant
2138 NC HIGHWAY 42 W
CLAYTON, NC 27520
Johnston County (919) 585-8000

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 Kelli Wallace's NPI number?

The NPI number for Kelli Wallace is 1508551433. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Kelli Wallace located?

Kelli Wallace practices at 2138 Nc Highway 42 W, Clayton, NC 27520. The listed phone number is (919) 585-8777.

What is Kelli 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 Kelli Wallace was last updated on April 6, 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.