Healthcare Provider Details

I. General information

NPI: 1104870914
Provider Name (Legal Business Name): JAMES EDWARD HILL PH.D., R.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SAN PEDRO SE
ALBUQUERQUE NM
87108
US

IV. Provider business mailing address

9512 PERALTA RD NE
ALBUQUERQUE NM
87109-6358
US

V. Phone/Fax

Practice location:
  • Phone: 505-823-1943
  • Fax: 505-262-5455
Mailing address:
  • Phone: 505-823-1943
  • 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: