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MRS. ELIZABETH BOYD ODOM RD, LDN
NPI 1700190832
Dietitian, Registered - Nutrition, Metabolic in Halifax, NC

Active since July 30, 2010
19 NORTH DOBBS STREET, HALIFAX, NC 27839(252) 583-5021(252) 583-2975 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Elizabeth Boyd Odom Rd, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELIZABETH BOYD ODOM RD, LDN (NPI 1700190832) is an individual nutrition, metabolic provider in Halifax, North Carolina, licensed in North Carolina (843319) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1700190832
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameMRS. ELIZABETH BOYD ODOMCredential: RD, LDN
Location Address19 NORTH DOBBS STREETHalifax, NC 27839-0010
Mailing Address19 North Dobbs StreetHalifax, NC 27839-0010 · (252) 583-5021 · Fax (252) 583-2975
Phone(252) 583-5021
Fax(252) 583-2975
Sole ProprietorNo
Enumeration DateJuly 30, 2010
Last NPPES UpdateApril 9, 2014
✔ NPI 1700190832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in NC · 843319
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
Also ListedNutritionistTaxonomy 133N00000X · License L001680 (NC)
19 NORTH DOBBS STREET, Halifax, NC 27839
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Other Identifiers 3

Medicaid6005545NC
Medicaid340432NC
Medicaid3404433NC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF HALIFAX
Clinic/Center (Public Health, State or Local)
19 NORTH DOBBS STREET
HALIFAX, NC 27839
Halifax County (252) 583-5021
MRS. JANICE TILLERY MYRICK RN NP-C
Nurse Practitioner (Family)
19 NORTH DOBBS STREET
HALIFAX, NC 27839
Halifax County (252) 583-5021
MRS. DIANE ROKITA PRIDGEN ACSW,LCSW
Counselor (Professional)
19 NORTH DOBBS STREET
HALIFAX, NC 27839
Halifax County (252) 583-5021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Odom's NPI number?

The NPI number for Elizabeth Odom is 1700190832. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

Where is Elizabeth Odom located?

Elizabeth Odom practices at 19 North Dobbs Street, Halifax, NC 27839. The listed phone number is (252) 583-5021.

What is Elizabeth Odom's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

When was this NPI record last updated?

The NPPES record for Elizabeth Odom was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.