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

Mrs. Gretchen Coleman Wallace, MS, RD, LD, CD

Individual provider Registered Dietitian · NPI 1023535440

Mrs. Gretchen Coleman Wallace, MS, RD, LD, CD is a Registered Dietitian in St. Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri, Oregon and Washington.

Licensed in
MO, OR, WA
In the registry since
2017
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

6 Cardinal Way Ste 900
St. Louis, MO 63102
Phone: (360) 209-2075
Fax: (206) 681-9640
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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 DI60956654 (WA)
Registered Dietitian Taxonomy 133V00000X · Licence 2023005984 (MO)
Registered Dietitian Taxonomy 133V00000X
Registered Dietitian Taxonomy 133V00000X · Licence 10235828 (OR)

Record details

NPI number1023535440
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LD , CD
Sole proprietorYes
NPI enumeratedAugust 25, 2017
Last updated in NPPESNovember 8, 2023

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