Provider Demographics
NPI:1689811333
Name:HOPKINS, WHITNEY BLAIR I (RD,LD)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:BLAIR
Last Name:HOPKINS
Suffix:I
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 SCENIC RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-1522
Mailing Address - Country:US
Mailing Address - Phone:817-448-0217
Mailing Address - Fax:
Practice Address - Street 1:121 SCENIC RIDGE DR
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76087-1522
Practice Address - Country:US
Practice Address - Phone:817-448-0217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-17
Last Update Date:2009-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX960816133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered