MS. KAREN L WALLACE RD, CD
NPI 1760532113
Dietitian, Registered in Mill Creek, WA

Active since January 10, 2007
15418 MAIN ST, STE 301, MILL CREEK, WA 98012(425) 385-3262(425) 357-0924 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Karen L Wallace Rd, Cd NPPES

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

MS. KAREN L WALLACE RD, CD (NPI 1760532113) is an individual dietitian, registered in Mill Creek, Washington, licensed in Washington (DI00000485) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1760532113
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. KAREN L WALLACECredential: RD, CD
Location Address15418 MAIN ST, STE 301Mill Creek, WA 98012-9030
Mailing Address15418 Main Street, Suite 301Mill Creek, WA 98012 · (425) 385-3262 · Fax (425) 357-0924
Fax(425) 357-0924
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1760532113 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 WA · DI00000485
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.
15418 MAIN ST, Mill Creek, WA 98012

Other Identifiers 1

Medicare ID-Type UnspecifiedAB40129WA · Medicare

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
15418 MAIN ST
MILL CREEK, WA 98012
Nurse Practitioner
15418 MAIN ST
MILL CREEK, WA 98012
Psychologist (Clinical)
15418 MAIN ST
MILL CREEK, WA 98012
Nurse Practitioner
15418 MAIN ST
MILL CREEK, WA 98012
Psychologist
15418 MAIN ST
MILL CREEK, WA 98012
Nurse Practitioner (Family)
15418 MAIN ST
MILL CREEK, WA 98012
Psychiatry & Neurology (Psychiatry)
15418 MAIN ST, SUITE 301
MILL CREEK, WA 98012
Nurse Practitioner
15418 MAIN ST
MILL CREEK, WA 98012

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 Karen Wallace's NPI number?

The NPI number for Karen Wallace is 1760532113. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Karen Wallace located?

Karen Wallace practices at 15418 Main St Ste 301, Mill Creek, WA 98012. The listed phone number is (425) 385-3262.

What is Karen Wallace's specialty?

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

What insurance does Karen Wallace accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Karen 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 Karen Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.