Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jodie Elizabeth Wallace, RD

Individual provider Registered Dietitian · NPI 1316429939

Jodie Elizabeth Wallace, RD is a Registered Dietitian in Antioch, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone: (925) 813-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86100110 (CA)

Record details

NPI number1316429939
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESAugust 30, 2018

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