Healthcare Provider Details

I. General information

NPI: 1568780781
Provider Name (Legal Business Name): CAROLINE A TOBY CNM, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 OLD LYNCHBURG RD
CHARLOTTESVILLE VA
22903-6500
US

IV. Provider business mailing address

4470 MOUNT ALTO RD
ESMONT VA
22937-2422
US

V. Phone/Fax

Practice location:
  • Phone: 434-972-1876
  • Fax:
Mailing address:
  • Phone: 281-881-9281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024192242
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number718698
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: