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Jodie Wallace, RD
NPI 1316429939 · Registered Dietitian · Antioch, CA
Jodie Wallace, RD is a Registered Dietitian provider in Antioch, CA (NPI 1316429939).
Provider details
- NPI number
- 1316429939
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 86100110 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone: (925) 813-7600
Approximate (ZIP-level) locationGet directions
Mailing address
4501 Sand Creek Rd
Antioch, CA 94531-8687
Registry dates
- Enumerated
- 2018-08-30
- Last updated
- 2018-08-30
Frequently asked questions
- What is Jodie Wallace's NPI number?
- Jodie Wallace's National Provider Identifier (NPI) is 1316429939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jodie Wallace's specialty?
- Jodie Wallace is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jodie Wallace located?
- Jodie Wallace's practice location on file with NPPES is 4501 Sand Creek Rd, Antioch, CA 94531-8687.
- What is Jodie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jodie Wallace is (925) 813-7600.
- Is Jodie Wallace's NPI active?
- Yes — Jodie Wallace's NPI (1316429939) is active in the NPPES registry as of the last update on 2018-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.