Active NPI
Pamela Jean Moreland, R.D.
- Registered Dietitian
- Roanoke, VA
National Provider Identifier
1053378372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3501 Colonial Green Cir SW
Roanoke, VA 24018-3752 - Phone
- (540) 344-3276
- Fax
- (540) 342-4399
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD000333 | GA | |
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3501 Colonial Green Cir SW
Roanoke, VA 24018-3752
Mailing address
10641 Ivy Ridge Rd
Bent Mountain, VA 24059-2137
Phone (540) 588-2353
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD000333 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endocrinology Associates Inc | Current | Accepting new patients | |
| Affinity Care of Virginia LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DJJECD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Roanoke, VA
- NPI 1275613473
-
- Community Based Hospice Care Agency
- Newport News, VA
- NPI 1699373449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1053378372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10641 IVY RIDGE RD",
"city": "BENT MOUNTAIN",
"state": "VA",
"postal_code": "240592137",
"telephone_number": "540-588-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 COLONIAL GREEN CIR SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183752",
"telephone_number": "540-344-3276",
"fax_number": "540-342-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELAND",
"first_name": "PAMELA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD000333",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.