Healthcare Provider Details

I. General information

NPI: 1740123025
Provider Name (Legal Business Name): ELIZABETH SOCHA RD, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SCOTTIE SOCHA RD, CDCES

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 MEDICAL PARK DR STE 211
SILVER SPRING MD
20902-4053
US

IV. Provider business mailing address

424 PERSIMMON DR
YORKTOWN VA
23693-5564
US

V. Phone/Fax

Practice location:
  • Phone: 757-903-7062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: