Provider Demographics
NPI:1356228456
Name:HAYES, NATHAN (RD LD)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:HAYES
Suffix:
Gender:M
Credentials:RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 ENGLISH OAK DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3963
Mailing Address - Country:US
Mailing Address - Phone:205-728-4893
Mailing Address - Fax:
Practice Address - Street 1:1023 ENGLISH OAK DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3963
Practice Address - Country:US
Practice Address - Phone:205-728-4893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1224133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered