Provider Demographics
NPI:1447361852
Name:HAYES, ROBIN RENEE ROHT (MS RD CDE CDN)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:RENEE ROHT
Last Name:HAYES
Suffix:
Gender:F
Credentials:MS RD CDE CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:NUTRITIONALLY SPEAKING
Mailing Address - City:CHESWOLD
Mailing Address - State:DE
Mailing Address - Zip Code:19936
Mailing Address - Country:US
Mailing Address - Phone:302-678-4909
Mailing Address - Fax:302-678-4944
Practice Address - Street 1:9 E LOOCKERMAN ST
Practice Address - Street 2:STE 316 NUTRITIONALLY SPEAKING
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901
Practice Address - Country:US
Practice Address - Phone:302-678-4909
Practice Address - Fax:302-678-4944
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN 0000116133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
1000034569OtherDELAWARE PHYSICIANS CARE
DE1000034569Medicaid
2106727OtherMAMST UNITED HEALTHCARE
2241502OtherAETNA HMO
7416030OtherAETNA NON HMO
MD1000034569Medicaid
DE1000034569Medicaid