Healthcare Provider Details

I. General information

NPI: 1356627418
Provider Name (Legal Business Name): ELIZABETH HOBBS R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2011
Last Update Date: 11/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 DRESSLER DR
COVINGTON VA
24426-6109
US

IV. Provider business mailing address

2120 DRESSLER DR
COVINGTON VA
24426-6109
US

V. Phone/Fax

Practice location:
  • Phone: 540-962-8902
  • Fax: 540-962-8902
Mailing address:
  • Phone: 540-962-8902
  • Fax: 540-962-8902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number410
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: