Individual provider Active NPI

Ana Florencia Moyeda Carabaza, PHD, RDN, LD, LMNT

  • Registered Dietitian
  • Waco, TX
National Provider Identifier
1104534304
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT89982 Issued in TX
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

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1640NEMDRegistered Dietitian
DT89982TXMDRegistered Dietitian

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.