Active NPI
Tatiana Erica Moore, RDN
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1083305148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L007325
- Practice address
- 4101 Beryl Rd Ste 230
Raleigh, NC 27606-1002 - Phone
- (404) 519-7589
- NPI assigned
- May 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L007325 | NC | Primary |
Addresses
Primary practice location
4101 Beryl Rd Ste 230
Raleigh, NC 27606-1002
Mailing address
4101 Beryl Rd Ste 230
Raleigh, NC 27606-1002
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 |
|---|---|---|---|
| L007325 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1083305148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 BERYL RD STE 230",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276061002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 BERYL RD STE 230",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276061002",
"telephone_number": "404-519-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TATIANA",
"middle_name": "ERICA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L007325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.