Mary Elise Wallace , MSRD, LD
Dietitian, Registered β’ Rockwall, TX
6705 Heritage Pkwy Ste 104
Rockwall, TX 750878729
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
6705 Heritage Pkwy Ste 104
Rockwall, TX 750878729
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Dallas, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Dietitian, Registered: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Rockwall and Texas
10 active clinicians are listed under Dietitian, Registered with a practice address in Rockwall, TX (5,100 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-08-12NUCC Taxonomy Code: 133V00000X
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 6705 HERITAGE PKWY STE 104, ROCKWALL, TX 750878729 (Tel: 9724127700)
Registered at PO BOX 127, ROCKWALL, TX 750870127 (Tel: 9724127700)
NPI status registered as active in NPPES database
Registered at 3600 GASTON AVE, SUITE 656, DALLAS, TX 752461800 (Tel: 2148203896)
Registered at 3812 ELM ST, DALLAS, TX 752261216 (Tel: 2148204752)
Recorded as MARY WALLACE, MSRD/LD
Dietitian, Registered (license number reported to NPPES: TX DT03189)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 127
Rockwall, TX 750870127
Phone: 9724127700