Kerrianne Ashley, RD

Individual provider Active NPI Registered Dietitian · Shiprock, NM

NPI 1255700399 · NPPES record last updated Sep 18, 2015

Key facts

NPI
1255700399
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
D1186 (MS)
Practice address
US Hwy 491 North
Shiprock, NM 87420
Phone
(505) 368-6001
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
D1186MSMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D1186 MS Yes

Addresses

Primary practice location

US Hwy 491 North
Shiprock, NM 87420

Mailing address

PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6001

Other providers in Shiprock, NM

All providers in Shiprock, NM · Registered Dietitian in New Mexico

Sources for this page

Verify at the official NPI Registry.