Gretchen Wallace, MS, RD, LD, CD

NPI: 1023535440

Gretchen Wallace, MS, RD, LD, CD

Q: What is Gretchen Wallace's NPI number?

Gretchen Wallace's NPI number is 1023535440, a unique 10-digit identifier issued by CMS.

Q: What does Gretchen Wallace specialize in?

Gretchen Wallace specializes in Registered Dietitian, taxonomy code 133V00000X.

Q: Where does Gretchen Wallace practice?

Gretchen Wallace practices in St. Louis, MO 63102.

Q: When was Gretchen Wallace's NPI issued?

Gretchen Wallace's NPI was issued on August 25, 2017.

Q: What is Gretchen Wallace's provider type?

Gretchen Wallace is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderRegistered Dietitian

NPI issued: August 25, 2017

Quick Facts

NPI Number

1023535440

TypeIndividual

StatusActive

SpecialtyRegistered Dietitian

Taxonomy133V00000X — Registered Dietitian

Phone

(360) 209-2075

StateMO

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1023535440)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 25, 2017)

Data source: CMS NPPES

Provider Overview

GRETCHEN WALLACE, MS, RD, LD, CD is a Registered Dietitian provider based in St. Louis, MO who has been registered with CMS since 2017. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1023535440

Provider TypeIndividual Provider

GenderFemale

CredentialMS, RD, LD, CD

StatusActive

Enumeration DateAugust 25, 2017

Practice Location

CitySt. Louis

StateMO

ZIP Code63102

Phone(360) 209-2075

Specialties & Licenses

★ Primary

SpecialtyRegistered Dietitian

Taxonomy Code133V00000X

License StateMO

Mailing Address

CitySt. Louis

StateMO

ZIP Code63102

Phone(360) 209-2075

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1023535440 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1023535440for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1023535440 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Registered Dietitian

Specialists in Registered Dietitian provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Registered Dietitianproviders →

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