Provider Demographics
NPI:1245589183
Name:NIXON, ASHLEY HUGHES (MS, RD, LDN, CNSC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:HUGHES
Last Name:NIXON
Suffix:
Gender:F
Credentials:MS, RD, LDN, CNSC
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:ELEANOR
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, CNSC
Mailing Address - Street 1:1034 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1113
Mailing Address - Country:US
Mailing Address - Phone:757-339-9566
Mailing Address - Fax:
Practice Address - Street 1:1400 VFW PKWY
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02132-4927
Practice Address - Country:US
Practice Address - Phone:757-339-9566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
991351133V00000X
VA991351133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered