Provider Demographics
NPI:1386937860
Name:HERALD, AMEY MARIE (MS, RD/LD)
Entity type:Individual
Prefix:MRS
First Name:AMEY
Middle Name:MARIE
Last Name:HERALD
Suffix:
Gender:F
Credentials:MS, RD/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PREWITT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-6806
Mailing Address - Country:US
Mailing Address - Phone:859-623-9172
Mailing Address - Fax:
Practice Address - Street 1:101 PREWITT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-6806
Practice Address - Country:US
Practice Address - Phone:859-623-9172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1439133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered