MS. CATHERINE WALLER (RD/LD, CDE) – Registered Dietitian, NPI 1265537286

MS. CATHERINE WALLER (RD/LD, CDE) is a healthcare provider. based in Spencer, Oklahoma. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD/LD, CDE. They hold a License No. 1115 (OK). The NPI Number for MS. CATHERINE WALLER (RD/LD, CDE) is 1265537286

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. CATHERINE WALLER (RD/LD, CDE)
NPI
1265537286
Phone
(405) 824-6558
Address
PO BOX 581
Enumeration Date
14 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4059484900
Graduation Year
2000 (26 years ago)
PAC ID
0840345534
Group Practice PAC ID
3476617374
Professional Enrollment ID
I20090901000645
Address ID
OK731281112OK5208XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

106 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OK

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Provider Addresses for MS. CATHERINE WALLER (RD/LD, CDE)

  • PO BOX 581

    SPENCER, OK 730840581

    Phone: (405) 824-6558

    Type: Mailing

  • West Reno Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73127, United States

    OKLAHOMA CITY, OK 731276339

    Phone: (405) 948-4900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090901000645IRegistered Dietitian Or Nutrition ProfessionalTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73084)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476617374View full group profile
NameSpecialtyState
Nurse PractitionerOK
Physician AssistantOK
N E U R O L O G YOK
Nurse PractitionerOK
Registered Dietitian Or Nutrition ProfessionalOK
Marriage And Family TherapistOK
Nurse PractitionerOK
Family PracticeOK
Mental Health CounselorOK
Family PracticeMD

Reviews

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Frequently asked questions

What is the standard ID for MS. CATHERINE WALLER (RD/LD, CDE) in the U.S.?
In the U.S., MS. CATHERINE WALLER (RD/LD, CDE) is identified by NPI 1265537286.
Quick check: is MS. CATHERINE WALLER (RD/LD, CDE) active?
Public NPPES data shows MS. CATHERINE WALLER (RD/LD, CDE) with an active NPI status right now.
How should patients interpret MS. CATHERINE WALLER (RD/LD, CDE)'s specialty?
The extract shows Registered Dietitian for MS. CATHERINE WALLER (RD/LD, CDE). Clinical services aligned with this taxonomy classification.
Can patients visit MS. CATHERINE WALLER (RD/LD, CDE) in Spencer, Oklahoma?
For routing, start with Spencer, Oklahoma for MS. CATHERINE WALLER (RD/LD, CDE), then verify phone and hours locally.
Who maintains MS. CATHERINE WALLER (RD/LD, CDE)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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