Active NPI
Cary H Moore
- Registered Dietitian
- Ruleville, MS
National Provider Identifier
1194088294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- MS D1452
- Practice address
- 840 N Oak Ave
Ruleville, MS 38771-3227 - Phone
- (662) 756-2711
- Fax
- (662) 756-4114
- NPI assigned
- Jun 22, 2012
- Last updated
- Jun 22, 2012
- 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 | MS D1452 | MS | Primary |
Addresses
Primary practice location
840 N Oak Ave
Ruleville, MS 38771-3227
Mailing address
1101 Sixth Ave
Cleveland, MS 38732-3649
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MS D1452 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1194088294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SIXTH AVE",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387323649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 N OAK AVE",
"city": "RULEVILLE",
"state": "MS",
"postal_code": "387713227",
"telephone_number": "662-756-2711",
"fax_number": "662-756-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CARY",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "MS D1452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruleville, MS
- Jane Critz Long, R.D., L.D.
- Loving Care Daycare
- Charles Lucas, PARAMEDIC
- Mississippi Commcare Corporation a Non Profit Corporation (Ruleville Community Care Center)
- Mississippi State Department of Health
- Airston Small Moses, FNP
- Brantley Paul Nichols, DMD
- North Sunflower Medical Center (NSMC Pro Fees)
- North Sunflower Medical Center (North Sunflower Medical Center - CRNA)
- North Sunflower Medical Center (Sunflower Rural Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.