Lisa Fenda Wallace, RD
NPI 1033862362 · Registered Dietitian · Naples, FL
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Fenda Wallace, RD is a Registered Dietitian provider in Naples, FL (NPI 1033862362).
Provider details
- NPI number
- 1033862362
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11012 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2022-01-27
- Last updated
- 2022-01-27
- Certified
- 2022-01-27
Frequently asked questions
- What is Lisa Fenda Wallace's NPI number?
- Lisa Fenda Wallace's National Provider Identifier (NPI) is 1033862362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Fenda Wallace's specialty?
- Lisa Fenda Wallace is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Lisa Fenda Wallace located?
- Lisa Fenda Wallace's practice location on file with NPPES is 430 Willet Ave, Naples, FL 34108-2104.
- What is Lisa Fenda Wallace's phone number?
- The practice phone number listed in the NPPES registry for Lisa Fenda Wallace is (216) 409-1727.
- Does Lisa Fenda Wallace accept Medicare?
- Lisa Fenda Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Fenda Wallace's NPI active?
- Yes — Lisa Fenda Wallace's NPI (1033862362) is active in the NPPES registry as of the last update on 2022-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.