Brittney L Moutray, RD LDN CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164005188 Issued in IL

Practice address

241 W Weaver Rd
Suite 210
Forsyth, IL 62535

Phone

(217) 876-5370

Fax

(217) 876-5375

NPI assigned

Sep 13, 2010

Last updated

Jun 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Practice roles

Locations

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.

• Valley Pathology, S.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Spring Valley, IL
  • NPI 1194073288
  NPD

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1114234085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WEST ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542757",
            "telephone_number": "815-780-3560",
            "fax_number": "815-780-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W WEAVER RD",
            "address_2": "SUITE 210",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "62535",
            "telephone_number": "217-876-5370",
            "fax_number": "217-876-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTRAY",
        "first_name": "BRITTNEY",
        "middle_name": "L",
        "credential": "RD LDN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaurav Malik, DDS
• Todd B Messamore, D.C.
• Midwest PCW PT, LLC (ApexNetwork Physical Therapy)
• Patricia Miller, N.P.
• Leidhy Mariana Montecinos, MD
• Erin E Noblitt, NP
• Oneopto Il 2 PLLC (All About Eyes)
• Roberto Pabalate, MD
• Priscilla A Pappas-Walker, OD
• Magnolia Pedraza, D.M.D., M.S.

• Registered Dietitian in Forsyth, IL
• Providers in Forsyth, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.