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Lisa Fenda Wallace, RD

  • Naples, FL
  • Registered dietitian
NPI1033862362
Medical group
1
State license
1
Year NPI issued
2022
Practice address
2035 Sanchez Casal Way, Naples, FL 34105
Professional email
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Personal email
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Mobile number
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Social profiles

Medical group

Nourish

Austin, Texas

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Lisa Fenda Wallace is a registered dietitian in Naples, Florida

Lisa Fenda Wallace practices with Nourish, a medical group.

Lisa Fenda Wallace's NPI, 1033862362, was assigned on January 27, 2022. Lisa Fenda Wallace holds Florida license 11012.

NPI and contact details
NPI
1033862362NPI Registry (opens in a new tab)
NPI enumeration date
January 27, 2022
NPI status
Active
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
32
Medical school graduation
2020

Sources: NPPES NPI Registry (CMS); and Dmand AI Professional Profile Data

Lisa Fenda Wallace's practice address is in Naples, Florida

Lisa Fenda Wallace's practice address in the NPI Registry is 2035 Sanchez Casal Way, Naples, FL 34105, in Collier County.

  • NPI Registry address
    2035 Sanchez Casal Way, Naples, FL 34105 · Collier County

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Lisa Fenda Wallace is affiliated with 1 medical group

Lisa Fenda Wallace is part of Nourish, a medical group in Austin, Texas.

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Lisa Fenda Wallace's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Lisa Fenda Wallace practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
NourishAvailable with a free account

Source: Dmand AI Technology Install Data

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Lisa Fenda Wallace is one of 520 registered dietitians in Florida

Dietitian, registered is Lisa Fenda Wallace's primary specialty in the NPI Registry, under taxonomy code 133V00000X. Lisa Fenda Wallace is licensed in Florida.

Specialties and state licenses

  • Registered dietitian, FloridaPrimaryLicense 11012 · taxonomy 133V00000X

Registered dietitians near Lisa Fenda Wallace

Counts of registered dietitians with a Dmand AI profile, by place and practice. Each opens the list.

520registered dietitians in Florida10registered dietitians in Naples1,478registered dietitians at Nourish

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Lisa Fenda Wallace's patients have a median age of 39

Across all payers, Dmand AI patient panel data puts Lisa Fenda Wallace's median patient age at 39, with 89% women.

Lisa Fenda Wallace's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 39

Patient panel by sex, all payers

  • Women89%
  • Men11%

Source: Dmand AI Patient Panel Data

Sources for Lisa Fenda Wallace's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Lisa Fenda Wallace

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Lisa Fenda Wallace's NPI number?

Lisa Fenda Wallace's NPI number is 1033862362. It was assigned on January 27, 2022, and it is active in the NPI Registry.

What does Lisa Fenda Wallace specialize in?

Lisa Fenda Wallace is a registered dietitian in Naples, Florida. The primary specialty in the NPI Registry is Registered Dietitian (taxonomy code 133V00000X).

Where does Lisa Fenda Wallace practice?

Lisa Fenda Wallace practices at 2035 Sanchez Casal Way, Naples, FL 34105. Lisa Fenda Wallace's primary practice is Nourish, a medical group.

What is Lisa Fenda Wallace's medical license number?

Lisa Fenda Wallace holds Florida license 11012.

What medical group is Lisa Fenda Wallace part of?

Lisa Fenda Wallace is part of Nourish in Austin, Texas.

How long has Lisa Fenda Wallace been practicing?

Lisa Fenda Wallace graduated from medical school in 2020, 6 years ago.

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