Katelyn Moir, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86027788 Issued in CA

Practice address

25825 Vermont Ave
Harbor City, CA 90710-3518

Phone

(862) 753-0993

NPI assigned

Oct 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1053036418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 FAUST AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907133108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25825 VERMONT AVE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103518",
            "telephone_number": "862-753-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIR",
        "first_name": "KATELYN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86027788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Miura-Shibata, RCP, RRT
• Sean Faust Moat, D.O.
• Heidi Christina Mock, M.D.
• Kianna Modir-Fatemi
• Hannan I Mohammed
• Cecilia M. Mola, MD
• Kathryn Ann Monroy, RD,CDE
• Lisa M. Montes, MD
• Crystal Moore, PT
• Jamshid Moossazadeh, MD

• Registered Dietitian in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.