Lisa Fenda Wallace, RD
NPI 1033862362ActiveIndividual· Dietitian, Registered· Naples, FL
Dietitian, Registered (RD) in Naples, Florida, licensed in FL, with an NPI issued in January 2022. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1033862362 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | Yes |
| NPI issued | Jan 27, 2022 |
| Last updated in NPPES | Jan 27, 2022 |
| Certified by provider | Jan 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 11012 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
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All 45 registered dietitians in Naples · All registered dietitians in Florida