Healthcare Provider Details

I. General information

NPI: 1700091527
Provider Name (Legal Business Name): ANDREA RACHELLE HUGHES MS, RD, CDE,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 S STRATFORD AVE STE B
SANTA MARIA CA
93454-5908
US

IV. Provider business mailing address

316 S STRATFORD AVE STE B
SANTA MARIA CA
93454-5908
US

V. Phone/Fax

Practice location:
  • Phone: 805-332-8446
  • Fax: 805-332-8173
Mailing address:
  • Phone: 805-332-8446
  • Fax: 805-332-8173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number886835
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: