Active NPI
Ana Florencia Moyeda Carabaza, PHD, RDN, LD, LMNT
- Registered Dietitian
- Waco, TX
National Provider Identifier
1104534304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT89982
- Practice address
- 405 Londonderry Dr Ste 310
Waco, TX 76712-7922 - Phone
- (254) 751-4097
- NPI assigned
- Nov 7, 2022
- 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 | DT89982 | TX | Primary |
| Registered Dietitian | 133V00000X | 1640 | NE |
Addresses
Primary practice location
405 Londonderry Dr Ste 310
Waco, TX 76712-7922
Mailing address
379 Cavitt CT
Waco, TX 76706-4815
Phone (806) 548-7994
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1640 | NE | MD | Registered Dietitian |
| DT89982 | TX | MD | Registered Dietitian |
Interoperability endpoints
- https://api.platform.athenahealth.com/13763/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1104534304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 CAVITT CT",
"city": "WACO",
"state": "TX",
"postal_code": "767064815",
"telephone_number": "806-548-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 LONDONDERRY DR STE 310",
"city": "WACO",
"state": "TX",
"postal_code": "767127922",
"telephone_number": "254-751-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYEDA CARABAZA",
"first_name": "ANA",
"middle_name": "FLORENCIA",
"credential": "PHD, RDN, LD, LMNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT89982",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "1640",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.