MRS. ELLEN EASLEY WALLACE CDE, RD, LD
NPI 1700178779
Dietitian, Registered in Starkville, MS

Active since May 10, 2011
103 STARR AVE APT 66, STARKVILLE, MS 39759(662) 418-1184 Get Directions Write a Review

NPPES record last updated: May 10, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Ellen Easley Wallace Cde, Rd, Ld NPPES

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

MRS. ELLEN EASLEY WALLACE CDE, RD, LD (NPI 1700178779) is an individual dietitian, registered in Starkville, Mississippi, licensed in Mississippi (D1317) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1700178779
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. ELLEN EASLEY WALLACECredential: CDE, RD, LD
Location Address103 STARR AVE APT 66Starkville, MS 39759-4058
Mailing AddressPo Box 5333Mississippi State, MS 39762-5333 · (662) 418-1184
Sole ProprietorYes
Enumeration DateMay 10, 2011
NPI 1700178779 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 MS · D1317
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.

103 STARR AVE APT 66, Starkville, MS 39759

Other Names 1

Former Name (1)Miss Ellen Jane Easley

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700178779, enumerated as an "individual" on May 10, 2011.

The provider is located at 103 STARR AVE APT 66 STARKVILLE, MS 39759 and the phone number is (662) 418-1184.

Dietitian, Registered with taxonomy code 133V00000X.