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

Mrs. Shannon Mooney Wickman, RD, LDN, CSOWM

Individual provider Registered Dietitian · NPI 1356423024

Mrs. Shannon Mooney Wickman, RD, LDN, CSOWM is a Registered Dietitian in Kennebunk, Maine. Licensed in Massachusetts and Maine. Registered with an NPI since 2006.

Licensed in
MA, ME
In the registry since
2006
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

72 Main St
Kennebunk, ME 04043-7021
Phone: (207) 467-8825
Fax: (207) 467-8811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity and Weight Management Nutrition Registered Dietitian (primary) Taxonomy 133VN1201X · Licence DI1082 (ME)
Registered Dietitian Taxonomy 133V00000X · Licence 2439 (MA)

Record details

NPI number1356423024
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN , CSOWM
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

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