SHAUNICE WALL


Address: 4 Atlantic St Sw, Washington, DC 20032-2350
Phone: 2024077747

SHAUNICE WALL (NPI# 1316579105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316579105
Entity Type Individual
Full Name SHAUNICE WALL
Credential DIETITIAN
Practice Address 4 Atlantic St Sw
Washington
DC 20032-2350
Practice Telephone 2024077747
Practice Fax Number 2022328494
Mailing Telephone 2024077747
Mailing Fax Number 2022328494
Enumeration Date 2020-02-10
Last Update Date 2020-02-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DI100000712 DC Dietary & Nutritional Service Providers

Office Location

Street Address 4 ATLANTIC ST SW
City WASHINGTON
State DC
Zip Code 20032-2350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508023037 Carla R Henke Family Medicine 4 Atlantic St Sw, Washington, DC 20032-2350 2008-05-21
1053910794 Timika Shante Fisher Registered Nurse 4 Atlantic St Sw, Washington, DC 20032-2350 2020-10-23
1366052813 Deidrix Tucker Dental Hygienist 4 Atlantic St Sw, Washington, DC 20032-2350 2020-08-08
1639791403 Kau Toali Cole Counselor 4 Atlantic St Sw, Washington, DC 20032-2350 2020-05-14
1336782341 Miranda Jean Social Worker 4 Atlantic St Sw, Washington, DC 20032-2350 2019-10-22
1083263933 Keandra Hudson Dental Hygienist 4 Atlantic St Sw, Washington, DC 20032-2350 2019-09-04
1942868716 Yamilee Fleurival Social Worker 4 Atlantic St Sw, Washington, DC 20032-2350 2019-06-05
1962065896 Matthew Valante Nurse Practitioner 4 Atlantic St Sw, Washington, DC 20032-2350 2019-04-16
1497217061 Gbola J. Oladele Nurse Practitioner 4 Atlantic St Sw, Washington, DC 20032-2350 2019-04-03
1134691934 Sarah Cannon Social Worker 4 Atlantic St Sw, Washington, DC 20032-2350 2018-12-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336753714 Ebonie Hawkins Counselor 101 Xenia St Suite 200 Sw, Washington, DC 20032 2020-09-03
1639788938 Richard Quinones Technician 4346 Livingston Rd Se, B, Washington, DC 20032 2020-07-23
1720603244 Ankur Sah Swarnakar Student in an Organized Health Care Education/Training Program 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 2020-06-10
1225659519 Michael Thomas Moore Counselor 920 Belview St. Se, Washington, DC 20032 2020-04-28
1144878240 Erika Kirkpatrick Behavior Technician 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 2019-08-31
1982251351 Agazit Asihel Counselor Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 2019-08-21
1538715412 Omonike Grace Adeosun Home Health Aide 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 2019-08-15
1932753571 Nadesh Mengwi Muluh Home Health Aide 2759 Martin Luther King Jr Avenue, Washington, DC 20032 2019-08-01
1376100115 Kelsey Hobart Student in an Organized Health Care Education/Training Program Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 2019-05-28
1407321417 Abigail Christine Burke Physical Therapist 3146 Arnold Avenue Sw, Washington, DC 20032 2018-10-05
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578163507 Tanisha Bethea Dietitian, Registered 2110 Ridgecrest Ct Se Apt 202, Washington, DC 20020-6219 2020-10-28
1619583473 Kylie Kain Dietitian, Registered 2216 Massachusetts Ave Nw, Washington, DC 20008-2812 2020-09-17
1487266615 Abbie N Loving Dietitian, Registered 100 Tharp Street, Washington, IN 47501-4228 2020-08-19
1780208371 Carolyn Elizabeth Feibig Dietitian, Registered 1260 21st St Nw Apt 106, Washington, DC 20036-2329 2020-05-30
1427670470 Alexandra Carol Sherrard Dietitian, Registered 1612 U St Nw Ste 400, Washington, DC 20009-6221 2020-05-13
1598384117 Caroline Prieskorn Dietitian, Registered 110 Irving St Nw Ste C-1200, Washington, DC 20010-3017 2020-04-14
1194350124 Jenna Gorlick Dietitian, Registered 600 Pennsylvania Ave Se Ste 340, Washington, DC 20003-6300 2020-03-10
1740813419 Mary Baginsky Dietitian, Registered 2500 Virginia Ave Nw Unit 704-s, Washington, DC 20037-1900 2020-02-20
1295372654 Hannah Byrne Dietitian, Registered 824 Constitution Ave Ne, Washington, DC 20002-6004 2019-12-04
1588205629 Good Food Nutrition Group, LLC Dietitian, Registered 2820 Ordway St Nw, Washington, DC 20008 2019-09-30
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Competitor

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City WASHINGTON
Zip Code 20032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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