Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMBER WALL RDN
NPI 1053100255
Dietitian, Registered in Towson, MD

Q: What is Amber Wall's NPI number?

The NPI number for Amber Wall is 1053100255. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Q: What is Amber Wall's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amber Wall was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 05, 2025

22 WEST RD, TOWSON, MD 21204(410) 370-0415 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 1, 2026, May 5, 2025 (2 updates tracked since 2025).

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About Amber Wall Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER WALL RDN (NPI 1053100255) is an individual dietitian, registered in Towson, Maryland, licensed in Maryland (86358177) and active in the NPI registry since May 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1053100255

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameAMBER WALLCredential: RDN

Location Address22 WEST RDTowson, MD 21204-2326

Mailing Address22 West RdTowson, MD 21204-2326 · (410) 370-0415

Phone(410) 370-0415

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 5, 2025

Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1053100255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MD · 86358177

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

22 WEST RD, Towson, MD 21204

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Wall Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577081801

PECOS Enrollment IDI20250520001237

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL EYE ASSOCIATES OF BALTIMORE PC

Ophthalmology

22 WEST RD, SUITE 201
TOWSON, MD 21204

Baltimore County (410) 337-4921

NECHAMA BERNHARDT MD

Psychiatry & Neurology (Neurology)

22 WEST RD, STE 101
TOWSON, MD 21204

Baltimore County (410) 823-3600

DR. CAROL B. FRAZIER D.P.T.

Physical Therapist

22 WEST RD, SUITE 302
TOWSON, MD 21204

Baltimore County (410) 321-6606

RICHARD MORRIS WEISMAN MD

Psychiatry & Neurology (Neurology)

22 WEST RD, STE 101
TOWSON, MD 21204

Baltimore County (410) 823-3600

MARYLAND HEART ASSOCIATES

Specialist

22 WEST RD, SUITE 300
TOWSON, MD 21204

Baltimore County (410) 828-5323

TODD LOUIS SAMUELS MD

Psychiatry & Neurology (Neurology)

22 WEST RD, STE 101
TOWSON, MD 21204

Baltimore County (410) 823-3600

CAROL BEDWELL FRAZIER, PT, PA

Physical Therapist

22 WEST RD
TOWSON, MD 21204

Baltimore County (410) 321-6606

WELLSPRING CARDIAC CARE, P.A.

Specialist

22 WEST RD, SUITE 300
TOWSON, MD 21204

Baltimore County (410) 828-5323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Wall's NPI number?

The NPI number for Amber Wall is 1053100255. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Amber Wall located?

Amber Wall practices at 22 West Rd, Towson, MD 21204. The listed phone number is (410) 370-0415.

What is Amber Wall's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amber Wall enrolled in Medicare?

Yes. Amber Wall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amber Wall was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.