Active NPI
Katie Moore LLC
- Registered Dietitian
- Ripley, WV
National Provider Identifier
1003533563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- KATIE MOORE LLC
- Practice address
- 370A Main St W
Ripley, WV 25271-1427 - Phone
- (304) 531-2829
- NPI assigned
- Oct 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Moore, RD
- Title
- Owner
- Phone
- (304) 351-2829
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
370A Main St W
Ripley, WV 25271-1427
Mailing address
346 3Rd Ave
Ripley, WV 25271-1530
Phone (304) 531-2829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN006109 | Other | PA | LDN |
Other names 1
- Katie Moore Nutrition
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250422002464 | WV | Part B Supplier - Clinic/Group Practice | 7517482532 |
Receives reassigned benefits from 1 practitioner Practice locations: Ripley, WV |
National Provider Directory
National Provider DirectoryLocations
370A Main St W
Ripley, WV 25271
Phone (304) 531-2829
105 Court St N
Ripley, WV 25271
Phone (304) 531-2829
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1003533563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 3RD AVE",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711530",
"telephone_number": "304-531-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370A MAIN ST W",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711427",
"telephone_number": "304-531-2829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATIE MOORE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-25",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-351-2829",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LDN",
"identifier": "DN006109",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Katie Moore Nutrition",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ripley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.