MARY TERESE WALLACE
NPI 1982156766
Dietitian, Registered in Port Angeles, WA

NPI Status: Active since October 27, 2016

Contact Information

939 CAROLINE ST
PORT ANGELES, WA
ZIP 98362
Phone: (360) 417-7125
Fax: (360) 417-7188

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  • Individual
  • Female
  • Dietitian, Registered

About MARY WALLACE

This page provides the complete NPI Profile along with additional information for Mary Wallace, a provider established in Port Angeles, Washington with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1982156766 assigned on October 2016. The practitioner's primary taxonomy code is 133V00000X with license number DI 60685427 (WA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1982156766
Provider Name
MARY TERESE WALLACE
Other Name
TERESE WALLACE RDN
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
939 CAROLINE ST PORT ANGELES, WA 98362
Location Phone
(360) 417-7125
Location Fax
(360) 417-7188
Mailing Address
700 BROADWAY SEATTLE, WA 98122
Mailing Phone
(206) 720-3734
Mailing Fax
(360) 417-7188
Is Sole Proprietor?
No
Enumeration Date
10-27-2016
Last Update Date
04-11-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
DI 60685427
License State
WA
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982156766
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291622512712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 2 + 5 + 1 + 2 + 7 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1982156766 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295739829 PAMELA J BUNDY MD
Individual
Anesthesiology939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1720082225 JOHN F MARTIG DO
Individual
Anesthesiology939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1528062031 MATTHEW BARTON MD
Individual
Anesthesiology939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1679540793DR. EDWARD M GACEK MD
Individual
Hospitalist939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1942278759DR. ARTHUR L TORDINI MD
Individual
Emergency Medicine939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7381
1578531901DR. JAMES P MOWRY MD
Individual
Orthopaedic Surgery939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1821066259DR. SHERRIE L CHATZKEL MD
Individual
Radiology (Diagnostic Radiology)939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1447228960DR. R SCOTT KENNEDY MD
Individual
Emergency Medicine939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-8670
1265400782DR. BENJAMIN P PISCIOTTA MD
Individual
Radiology (Diagnostic Radiology)939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1285602706DR. STEPHEN CHURCHLEY MD
Individual
Emergency Medicine939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1497723837DR. JULEANN C GANDARA MD
Individual
Radiology (Diagnostic Radiology)939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1144299223DR. SAMUEL R BAKER MD00011025
Individual
Orthopaedic Surgery939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1184692394DR. KIRK A COLE MD
Individual
Radiology (Diagnostic Radiology)939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1972571172 MARDELL C RICHMOND ARNP
Individual
Nurse Practitioner939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1699743898DR. JOSEPHINE C ZUZARTE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1215906334 SELBY J PARKER PAC
Individual
Physician Assistant939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7381
1942278007DR. CLARE S BERTUCIO MD
Individual
Radiology (Radiation Oncology)939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1245209311 DEBORAH J TURNER PAC
Individual
Physician Assistant (Medical)939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1962461129DR. ROBERT P WATKINS JR. MD
Individual
Orthopaedic Surgery939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000
1750330379DR. KARA KURTZ URNES M.D.
Individual
Internal Medicine (Cardiovascular Disease)939 CAROLINE ST
PORT ANGELES, WA 98362
(360) 417-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982156766, enumerated in the NPI registry as an "individual" on October 27, 2016

The provider is located at 939 Caroline St Port Angeles, Wa 98362 and the phone number is (360) 417-7125

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

This NPI record was last updated on October 27, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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