Jordan Marie Moore, MS, RDN, CSSD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86049646

Practice address

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001

Phone

(910) 907-8922

Fax

(910) 907-6069

NPI assigned

Jan 30, 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

Other names 1

• Miss Jordan Marie Park Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1326546870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JORDAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CSSD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86049646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "PARK",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MS, RDN, CSSD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dietra Montalvo, LCSW
• Luis Andrew Montilla, LCSW
• Sandra Moore Murrell, PA-C
• Elizabeth Evernham Moore, DVM
• Jodi Michelle Moore, PA-C
• Rebecca Moore, MS, RD, LD, CSSD
• Phuquain Morales-Walton, DMD
• Wade Douglas Morcom, CRNA
• Jose David Morenovelez, PA-C
• William Christopher Moreo, DNP, FNP-C

• Registered Dietitian in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.