Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Ellen Easley Wallace, CDE, RD, LD

Individual provider Registered Dietitian · NPI 1700178779

Mrs. Ellen Easley Wallace, CDE, RD, LD is a Registered Dietitian in Starkville, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2011
What do these letters mean?
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

103 Starr Ave Apt 66
Starkville, MS 39759-4058
Phone: (662) 418-1184
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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 D1317 (MS)

Record details

NPI number1700178779
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDE , RD , LD
Sole proprietorYes
NPI enumeratedMay 10, 2011
Last updated in NPPESMay 10, 2011

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