Provider Demographics
NPI:1235990300
Name:SIMS, HILLARY B (RD)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:B
Last Name:SIMS
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 1:4 2ND AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24141-3600
Mailing Address - Country:US
Mailing Address - Phone:540-392-3830
Mailing Address - Fax:
Practice Address - Street 1:4 2ND AVENUE EXT
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-3600
Practice Address - Country:US
Practice Address - Phone:540-392-3830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA86008788133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered