Active NPI
Corey Hobbs
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1063306579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86293758
- Practice address
- 4381 E Lariat LN
Phoenix, AZ 85050-8903 - Phone
- (714) 402-5625
- NPI assigned
- Jun 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86293758 | TN | Primary |
Addresses
Primary practice location
4381 E Lariat LN
Phoenix, AZ 85050-8903
Mailing address
4381 E Lariat LN
Phoenix, AZ 85050-8903
Phone (714) 402-5625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86293758 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749254400000",
"number": "1063306579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4381 E LARIAT LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850508903",
"telephone_number": "714-402-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4381 E LARIAT LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850508903",
"telephone_number": "714-402-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBS",
"first_name": "COREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-07",
"last_updated": "2025-06-07",
"certification_date": "2025-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "86293758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.