Elle Michele Moore, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

525 Sunrise Dr
Lynden, WA 98264-9350

Phone

(360) 441-1572

NPI assigned

Jan 30, 2023

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

Enrolled in WA

Enrollment records 1

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 and National Provider Directory roles.

• Public Hospital District No 3 of Whitman County

  • Critical Access Hospital
  • Colfax, WA
  • NPI 1922009448
  Medicare reassignment NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1245946417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SUNRISE DR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649350",
            "telephone_number": "360-441-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SUNRISE DR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649350",
            "telephone_number": "360-441-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELLE",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Nadine Mitchell
• Christopher J. Mitchell, DPT
• Mobile Eyeworks LLC
• Mobility Rehab Solutions
• Noha Mohamed, PHARMD
• Jacey Mae Murphy, MT
• Jose Benjamin Francisco Zamora Nava, ARNP
• Katherine Shizue Tamura Neely, OTD, OTR/L
• Cameron B Nelson, DPT
• Christine A. Nelson, ATC

• Registered Dietitian in Lynden, WA
• Providers in Lynden, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.