Healthcare Provider Details

I. General information

NPI: 1982931077
Provider Name (Legal Business Name): HEATHER MICHELLE ASHCRAFT MS RDN LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER MICHELLE HIBBEN

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 MELCHEN RD
BRATTLEBORO VT
05301-3239
US

IV. Provider business mailing address

PO BOX 810
HANOVER NH
03755-0810
US

V. Phone/Fax

Practice location:
  • Phone: 860-961-4250
  • Fax:
Mailing address:
  • Phone: 603-308-1467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD003473
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number59.001195
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3613
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1173
License Number StateNH
# 5
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number074.0134239
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: