Organization Active NPI

Katie Moore LLC

  • Registered Dietitian
  • Ripley, WV
National Provider Identifier
1003533563
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katie Moore, RDNPI 1700501392
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DN006109OtherPALDN

Other names 1

  • Katie Moore Nutrition Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422002464 WV Part B Supplier - Clinic/Group Practice 7517482532 Receives reassigned benefits from 1 practitioner
Practice locations: Ripley, WV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.