KELLI CIERRA WALL RDN
NPI 1508511122
Dietitian, Registered in Detroit, MI

Q: What is Kelli Wall's NPI number?

The NPI number for Kelli Wall is 1508511122. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Q: What is Kelli 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 Kelli Wall was last updated on February 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 14, 2022

13901 E JEFFERSON AVE, DETROIT, MI 48215(313) 821-2591(313) 822-0950 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelli Cierra Wall Rdn NPPES

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

KELLI CIERRA WALL RDN (NPI 1508511122) is an individual dietitian, registered in Detroit, Michigan, licensed in Michigan (86044997) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1508511122

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLI CIERRA WALLCredential: RDN

Location Address13901 E JEFFERSON AVEDetroit, MI 48215-2720

Mailing Address13901 E Jefferson AveDetroit, MI 48215-2720 · (313) 821-2591 · Fax (313) 822-0950

Phone(313) 821-2591

Fax(313) 822-0950

Sole ProprietorNo

Enumeration DateFebruary 14, 2022

NPPES CertifiedFebruary 14, 2022

✔ NPI 1508511122 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 MI · 86044997

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.

13901 E JEFFERSON AVE, Detroit, MI 48215

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