Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013451608 Individual Practitioner Female Practitioner

Mary Elise Wallace , MSRD, LD

Dietitian, Registered • Rockwall, TX

Professional Overview & Biography Verified Profile Summary

Mary Wallace, MSRD, LD is a registered healthcare professional specializing in Dietitian, Registered in Rockwall, TX. Practice services are available at 6705 HERITAGE PKWY STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6705 Heritage Pkwy Ste 104

Rockwall, TX 750878729

Telephone 9724127700
Associated Practice Facility / Clinic
🏢 David W. Ritter, M.d., P.a. Facility NPI 1295062172

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Rockwall, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Rockwall, TX (5148 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-12
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT03189

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.

Secondary Practice Locations

3600 Gaston Ave, Suite 656

Dallas, TX 752461800

Phone: 2148203896

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1255540936

Doctor of Medicine (M.D.)

NPI 1598109035

Doctor of Medicine (M.D.)

NPI 1669797718

Doctor of Medicine (M.D.)

NPI 1770961146

Doctor of Medicine (M.D.)

NPI 1841282365

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 12, 2021

Registered at 6705 HERITAGE PKWY STE 104, ROCKWALL, TX 750878729 (Tel: 9724127700)

📍
Updated Business Mailing Address August 12, 2021

Registered at PO BOX 127, ROCKWALL, TX 750870127 (Tel: 9724127700)

NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2016

Registered at 3600 GASTON AVE, SUITE 656, DALLAS, TX 752461800 (Tel: 2148203896)

📍
Updated Business Mailing Address December 15, 2016

Registered at 3812 ELM ST, DALLAS, TX 752261216 (Tel: 2148204752)

👤
Provider Name / Credentials Updated December 15, 2016

Recorded as MARY WALLACE, MSRD/LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2016

Dietitian, Registered (License #DT03189 in TX)

🟢
Initial NPI Registration & Enumeration December 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013451608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2016
Last Update: August 12, 2021
Sole Proprietor: No

Mailing Address

Po Box 127

Rockwall, TX 750870127

Phone: 9724127700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.