Active NPI
Ana Maria Moise
- Registered Dietitian
- Northampton, MA
National Provider Identifier
1306205018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000003801
- Practice address
- 52 Center St
Northampton, MA 01060-3025 - Phone
- (413) 429-8110
- Fax
- (413) 523-0261
- NPI assigned
- Feb 23, 2016
- 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 | 000003801 | MA | Primary |
Addresses
Primary practice location
52 Center St
Northampton, MA 01060-3025
Mailing address
PO Box 1082
Great Barrington, MA 01230-6082
Phone (413) 429-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160719002111 | MA | Practitioner - Registered Dietitian Or Nutrition Professional | 6305139981 | Practice locations: Northampton, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3801 | MA | MD | Mental Health Counselor |
| 000003801 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1306205018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1082",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012306082",
"telephone_number": "413-429-8110",
"fax_number": "413-523-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 CENTER ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603025",
"telephone_number": "413-429-8110",
"fax_number": "413-523-0261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOISE",
"first_name": "ANA MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "000003801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.