IndividualActive
Mary Wallace, MSRD/LD
NPI 1013451608 · Registered Dietitian · Rockwall, TX
Mary Wallace, MSRD/LD is a Registered Dietitian provider in Rockwall, TX (NPI 1013451608).
Provider details
- NPI number
- 1013451608
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MSRD/LD
- Sex
- Female
- Sole proprietor
- No
- License
- DT03189 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6705 Heritage Pkwy Ste 104
Rockwall, TX 75087-8729
Phone: (972) 412-7700
Street-level locationGet directions
Mailing address
Po Box 127
Rockwall, TX 75087-0127
Additional practice locations (1)
- 3600 Gaston AveSuite 656Dallas, TX 75246-1800Phone: (214) 820-3896
Registry dates
- Enumerated
- 2016-12-15
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Frequently asked questions
- What is Mary Wallace's NPI number?
- Mary Wallace's National Provider Identifier (NPI) is 1013451608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Wallace's specialty?
- Mary Wallace is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Mary Wallace located?
- Mary Wallace's practice location on file with NPPES is 6705 Heritage Pkwy Ste 104, Rockwall, TX 75087-8729.
- What is Mary Wallace's phone number?
- The practice phone number listed in the NPPES registry for Mary Wallace is (972) 412-7700.
- Is Mary Wallace's NPI active?
- Yes — Mary Wallace's NPI (1013451608) is active in the NPPES registry as of the last update on 2021-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.