Healthcare Provider Details

I. General information

NPI: 1629653878
Provider Name (Legal Business Name): ALLISON S ASHCRAFT MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6535 N CHARLES ST STE 405
BALTIMORE MD
21204-5830
US

IV. Provider business mailing address

6535 N CHARLES ST STE 4056
BALTIMORE MD
21204-5826
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-2036
  • Fax:
Mailing address:
  • Phone: 443-849-2036
  • Fax: 443-849-8999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDX4627
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: