1447361852 NPI number — MS. ROBIN RENEE ROHT HAYES MS RD CDE CDN

Table of content: MS. ROBIN RENEE ROHT HAYES MS RD CDE CDN (NPI 1447361852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447361852 NPI number — MS. ROBIN RENEE ROHT HAYES MS RD CDE CDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAYES
Provider First Name:
ROBIN
Provider Middle Name:
RENEE ROHT
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS RD CDE CDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447361852
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 184
Provider Second Line Business Mailing Address:
NUTRITIONALLY SPEAKING
Provider Business Mailing Address City Name:
CHESWOLD
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19936
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-678-4909
Provider Business Mailing Address Fax Number:
302-678-4944

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9 E LOOCKERMAN ST
Provider Second Line Business Practice Location Address:
STE 316 NUTRITIONALLY SPEAKING
Provider Business Practice Location Address City Name:
DOVER
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-678-4909
Provider Business Practice Location Address Fax Number:
302-678-4944
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133VN1006X , with the licence number:  DN 0000116 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1000034569 . This is a "DELAWARE PHYSICIANS CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000034569 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2106727 . This is a "MAMST UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2241502 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7416030 . This is a "AETNA NON HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000034569 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com