Provider Demographics
NPI:1942188396
Name:STANDIFORD, HILLARY (RD)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:STANDIFORD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2749 BERTHA ST
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-3801
Mailing Address - Country:US
Mailing Address - Phone:724-747-3184
Mailing Address - Fax:
Practice Address - Street 1:95 W BEAU ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-6800
Practice Address - Country:US
Practice Address - Phone:724-250-7790
Practice Address - Fax:724-412-8756
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004306133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered