Healthcare Provider Details

I. General information

NPI: 1891337077
Provider Name (Legal Business Name): AMELIA HUGHES FOLEY MPH, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2019
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 17TH ST NE
WASHINGTON DC
20002
US

IV. Provider business mailing address

1350 SPRING RD NW
WASHINGTON DC
20010-1360
US

V. Phone/Fax

Practice location:
  • Phone: 202-398-5520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI100001101
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: