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MARY INSALACO LICENSE DIETITIAN
NPI 1780917237
Dietitian, Registered in Saint Louis, MO

Active since September 16, 2009
3115 WYNFIELD TERRACE CT, SAINT LOUIS, MO 63129(314) 695-0797 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Insalaco License Dietitian NPPES

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

MARY INSALACO LICENSE DIETITIAN (NPI 1780917237) is an individual dietitian, registered in Saint Louis, Missouri, licensed in Missouri (2009014930) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1780917237
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY INSALACOCredential: LICENSE DIETITIAN
Location Address3115 WYNFIELD TERRACE CTSaint Louis, MO 63129-3971
Mailing Address2220 Lemp AveSaint Louis, MO 63104-2700 · (314) 814-8615 · Fax (314) 814-8542
Phone(314) 695-0797
Sole ProprietorNo
Enumeration DateSeptember 16, 2009
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1780917237 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 MO · 2009014930
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.
3115 WYNFIELD TERRACE CT, Saint Louis, MO 63129
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Other Names 1

Former Name (1)Mary Lucca License Dietitian

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 Mary Insalaco's NPI number?

The NPI number for Mary Insalaco is 1780917237. It was assigned to this individual provider in the NPPES registry on September 16, 2009. The provider is also known as Mary Lucca License Dietitian.

Where is Mary Insalaco located?

Mary Insalaco practices at 3115 Wynfield Terrace Ct, Saint Louis, MO 63129. The listed phone number is (314) 695-0797.

What is Mary Insalaco'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 Mary Insalaco was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.