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

Shaunice Wall, DIETITIAN

Individual provider Registered Dietitian · NPI 1316579105

Shaunice Wall, DIETITIAN is a Registered Dietitian in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2020

Practice location Address checks out

4 Atlantic St SW
Washington, DC 20032-2350
Phone: (202) 407-7747
Fax: (202) 232-8494
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI100000712 (DC)

Record details

NPI number1316579105
Entity typeIndividual (Type 1)
GenderFemale
Credentials DIETITIAN
Sole proprietorYes
NPI enumeratedFebruary 10, 2020
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

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