Individual provider Active NPI

Julia Ann Moore, RD, LD

  • Registered Dietitian
  • Lima, OH
National Provider Identifier
1184969230
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.7146 Issued in OH
Practice address
770 W High St Ste 400
Lima, OH 45801-5917
Phone
(419) 227-2727
Fax
(419) 224-1589
NPI assigned
Nov 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.7146 OH Primary

Addresses

Primary practice location

770 W High St Ste 400
Lima, OH 45801-5917

Mailing address

1760 Arlington Dr
Lima, OH 45805-1420
Phone (567) 204-0166

Other practice location 1

825 S Cable Rd Ste A
Lima, OH 45805-3467
Phone (419) 224-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130110000396 OH Practitioner - Registered Dietitian Or Nutrition Professional 1850544487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD.7146OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Mar 10, 2025 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Mar 10, 2025 Accepting new patients

Locations

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

1005 Bellefontaine Ave
Ste 175
Lima, OH 45804
Phone (419) 227-2727

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: julie.moore.1@26020.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1184969230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 ARLINGTON DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051420",
            "telephone_number": "567-204-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 400",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015917",
            "telephone_number": "419-227-2727",
            "fax_number": "419-224-1589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 S Cable Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458053467",
            "country_code": "US",
            "telephone_number": "419-224-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.7146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.