Carlee R Moeller

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

992809 Issued in WA

Practice address

7001 W Broad St
Richmond, VA 23294-3701

Phone

(804) 755-2368

Fax

(804) 672-7919

NPI assigned

Mar 6, 2018

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 VA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Carlee Moeller Dietitian Consultant

  • Renal Nutrition Registered Dietitian
  • Richmond, VA
  • NPI 1841797131

  Nutrition, Renal

  NPD Authorized official

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1285136234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 SADLER GLEN CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606171",
            "telephone_number": "804-714-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943701",
            "telephone_number": "804-755-2368",
            "fax_number": "804-672-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "CARLEE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "WA",
            "license": "992809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Physical Therapy, P.C.
• Mark C. Mochel, MD
• James Mock, LCSW
• Modern Woman, LLC
• Sarika Subodh Modi, MD
• Frederick G Moeller, M.D.
• Makinna Caitlin Moen, MD
• David Moffatt
• David Thomas Moffatt, M.S. MD
• Thomas L Moffatt, M.D.

• Renal Nutrition Registered Dietitian in Richmond, VA
• Providers in Richmond, VA by specialty
• Renal Nutrition Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.