Individual ProviderShannon HuntleyDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(202) 476-5000(908) 303-9973PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Huntley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194246793Provider TypeIndividualFull NameHuntley, ShannonCredentialRDGenderFemaleSole ProprietorNoEnumeration Date7/5/2017Last Updated7/5/2017Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(202) 476-5000FaxUnlisted FaxMailing LocationMailing Address320 23rd St S, Apt 617, Arlington, VA 22202-3738Phone(908) 303-9973FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted Issuer