MS. MAUREEN PATRICIA WALLACE (NPI# 1790722015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790722015 |
| Entity Type | Individual |
| Full Name | MS. MAUREEN PATRICIA WALLACE |
| Credential | R.D. |
| Practice Address |
753 Virginia St Dunedin FL 34698-6615 |
| Mailing Address |
Po Box 1698 Clearwater FL 33757-1698 |
| Practice Telephone | 7277346888 |
| Practice Fax Number | 7277346898 |
| Mailing Telephone | 7275320002 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND4693 | FL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366599334 | Maureen Wallace | Social Worker | 919 Village Center, Ste 7, Lafayette, CA 94549-3599 | 2007-01-04 |
| 1396761995 | Maureen V Wallace | Physical Therapist | 2430 N. 7th, Unit 2, Bozeman, MT 59715 | 2006-07-15 |
| 1073559399 | Maureen Wallace | Physician Assistant | 514 E Whitehouse Canyon Rd Ste 110, Green Valley, AZ 85614-0539 | 2006-06-22 |
| 1184854549 | Maureen Elizabeth Wallace | Psychologist | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2009-07-20 |
| 1952424525 | Maureen Kay Wallace | Physician Assistant | 6624 Fannin St, Suite 2400, Houston, TX 77030-2312 | 2007-04-09 |
| 1932298452 | Maureen L Wallace | Audiologist | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2006-10-12 |
| Street Address |
753 VIRGINIA ST |
| City | DUNEDIN |
| State | FL |
| Zip Code | 34698-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851346860 | Anne M. Schreiner | Dietitian, Registered | 753 Virginia St, Dunedin, FL 34698-6615 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245711803 | Surgcenter Clearwater, LLC | Clinic/Center | 980 Milwaukee Avenue, Dunedin, FL 34698 | 2018-08-22 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| 1487168506 | Dunedin Chiropractic Inc | Chiropractor | 1059 Broadway Suite C, Dunedin, FL 34698 | 2017-11-28 |
| 1578072039 | Changesu | Clinic/Center | 998 Emerson Drive, Dunedin, FL 34698 | 2017-09-27 |
| 1144680042 | Diane Chonacki | Social Worker | 1835 Santa Barbara Dr, Dunedin, FL 34698 | 2016-03-04 |
| 1801201157 | Beverly Sorrells | Acupuncturist | 595 Main Street, Suite 201, Dunedin, FL 34698 | 2014-06-25 |
| 1215275623 | Izabela Kowal | Internal Medicine | 1460 Beltrees St Ste 1, Dunedin, FL 34698 | 2013-01-18 |
| 1588923346 | Kim T Rohr, Dc Pa | Chiropractor | 1000 Bass Blvd, Dunedin, FL 34698 | 2012-05-14 |
| 1235437500 | Caryn Daley Mcclintock | Registered Nurse | 1930 Dunloe Circle, Dunedin, FL 34698 | 2011-03-10 |
| 1295043073 | Chmiel Corp | Assisted Living Facility | 3240 Cr #1, Dunedin, FL 34698 | 2010-09-15 |
| Find all providers in zip 34698 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585348 | Carolyn Maria Ibrahim Pavlich | Dietitian, Registered | 2625 Colony Drive, Dunedin, FL 34698-6510 | 2020-07-08 |
| 1669762514 | Liat Golan | Dietitian, Registered | 476 Belmist Ct, Dunedin, FL 34698-7302 | 2011-04-12 |
| 1194892349 | Michele B Cleary | Dietitian, Registered | 2102 Paddock Cir, Dunedin, FL 34698-2425 | 2006-11-30 |
| 1851346860 | Anne M. Schreiner | Dietitian, Registered | 753 Virginia St, Dunedin, FL 34698-6615 | 2006-05-24 |
| 1306050505 | Diane M Kirk | Dietitian, Registered | 601 Main St, Dunedin, FL 34698-5848 | 2007-05-09 |
| 1649315797 | Catherine J Kapros-danis | Dietitian, Registered | 601 Main St, Dunedin, FL 34698-5848 | 2007-02-20 |
| 1336203553 | Janet W. Simon | Dietitian, Registered | 601 Main St, Dunedin, FL 34698-5848 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265268 | Rachel Moore Gibson | Dietitian, Registered | 5145 S Dale Mabry Hwy Unit 20412, Tampa, FL 33611-3677 | 2020-11-08 |
| 1275134520 | Dunia Santana-enamorado | Dietitian, Registered | 6141 Lanshire Dr, Tampa, FL 33634-3042 | 2020-11-03 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1114527256 | Jacquelyn Gabriela Baldeon Garo | Dietitian, Registered | 17701 Sw 112th Ave, Miami, FL 33157-5007 | 2020-10-28 |
| 1013516632 | Cecelia Lee Andreo | Dietitian, Registered | 3545 Victory Dr, Pace, FL 32571-8302 | 2020-10-24 |
| 1114526209 | Scientific Nutrition International LLC | Dietitian, Registered | 6295 Sunset Dr, South Miami, FL 33143-4804 | 2020-10-20 |
| 1023617446 | Madisyn Becker | Dietitian, Registered | 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 | 2020-10-19 |
| 1194323774 | Janice Cuevas Cintron | Dietitian, Registered | 5439 Limestone Ln, Lakeland, FL 33809-0830 | 2020-10-15 |
| 1194323345 | Danielle Sara Samelson | Dietitian, Registered | 4225 Cloverleaf Pl, Casselberry, FL 32707-4703 | 2020-10-10 |
| 1518564830 | Sneha Lalla | Dietitian, Registered | 14171 Metropolis Ave Ste 202, Fort Myers, FL 33912-4335 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.