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

Madeline G Wallace, RD

Individual provider Registered Dietitian · NPI 1366264970

Madeline G Wallace, RD is a Registered Dietitian OR Nutrition Professional in Little Rock, Arkansas. Qualified in 2021, 5 years ago. Practices with University of Arkansas for Medical Sciences, a 1,144-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
5
Licensed in
AR
In the registry since
2024
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4301 W Markham St # 574
Little Rock, AR 72205-7101
Phone: (501) 526-6477
Fax: (501) 526-7977
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2189 (AR)

Record details

NPI number1366264970
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedOctober 26, 2024
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Arkansas For Medical Sciences — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Little Rock