Organization Active NPI

Susan Moore, Ms Rd LLC

  • Registered Dietitian
  • Richmond, VA
National Provider Identifier
1285068759
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SUSAN MOORE, MS RD LLC
Practice address
901 Porter St Apt 202
Richmond, VA 23224-2208
Phone
(703) 209-3334
Fax
(866) 229-3445
NPI assigned
Sep 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Susan Sharon Moore, MS, RD
Title
Registered Dietitian/Owner
Phone
(703) 644-4461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

901 Porter St Apt 202
Richmond, VA 23224-2208

Mailing address

901 Porter St Apt 202
Richmond, VA 23224-2208
Phone (703) 209-3334

Other names 1

  • Susan Moore, MS RD LLC & Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1285068759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PORTER ST APT 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242208",
            "telephone_number": "703-209-3334",
            "fax_number": "866-229-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PORTER ST APT 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242208",
            "telephone_number": "703-209-3334",
            "fax_number": "866-229-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MOORE, MS RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-02",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "703-644-4461",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Moore, MS RD LLC & Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Susan Moore, MS RD LLC & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.