Provider Demographics
NPI:1043817190
Name:HAYES, ELLEN (RDN)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 LONG BLVD APT 206
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1278
Mailing Address - Country:US
Mailing Address - Phone:615-293-2799
Mailing Address - Fax:
Practice Address - Street 1:3140 LONG BLVD APT 206
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1278
Practice Address - Country:US
Practice Address - Phone:615-293-2799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered