Provider Demographics
NPI:1104641166
Name:HALL, ASHLEY MONET (MA, RDN)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MONET
Last Name:HALL
Suffix:
Gender:
Credentials:MA, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 FIRST COLONIAL RD STE B
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6126
Mailing Address - Country:US
Mailing Address - Phone:757-224-7284
Mailing Address - Fax:757-257-0976
Practice Address - Street 1:848 FIRST COLONIAL RD STE B
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6126
Practice Address - Country:US
Practice Address - Phone:757-422-4728
Practice Address - Fax:757-257-0976
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1094267133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered