IndividualActive
Ellen Wallace, CDE, RD, LD
NPI 1700178779 · Registered Dietitian · Starkville, MS
Ellen Wallace, CDE, RD, LD is a Registered Dietitian provider in Starkville, MS (NPI 1700178779).
Provider details
- NPI number
- 1700178779
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- CDE, RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- D1317 (MS)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
103 Starr Ave Apt 66
Starkville, MS 39759-4058
Phone: (662) 418-1184
Street-level locationGet directions
Mailing address
Po Box 5333
Mississippi State, MS 39762-5333
Registry dates
- Enumerated
- 2011-05-10
- Last updated
- 2011-05-10
Frequently asked questions
- What is Ellen Wallace's NPI number?
- Ellen Wallace's National Provider Identifier (NPI) is 1700178779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellen Wallace's specialty?
- Ellen Wallace is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Ellen Wallace located?
- Ellen Wallace's practice location on file with NPPES is 103 Starr Ave Apt 66, Starkville, MS 39759-4058.
- What is Ellen Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ellen Wallace is (662) 418-1184.
- Is Ellen Wallace's NPI active?
- Yes — Ellen Wallace's NPI (1700178779) is active in the NPPES registry as of the last update on 2011-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.