Active NPI
Daina Moritz, MS, RDN
- Registered Dietitian
- Yukon, OK
National Provider Identifier
1376205104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD2636
- Practice address
- 11431 NW 9TH Ter
Yukon, OK 73099-5004 - Phone
- (314) 681-5350
- NPI assigned
- Oct 8, 2021
- 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 | LD2636 | OK | Primary |
Addresses
Primary practice location
11431 NW 9TH Ter
Yukon, OK 73099-5004
Mailing address
11431 NW 9TH Ter
Yukon, OK 73099-5004
Phone (314) 681-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD2636 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitian Daina LLC | Dietitian, Registered | Current | Accepting new patients |
| Saint Francis Medical Center | Past | Accepting new patients | |
| Mochi Medical Ca PC | Past | Accepting new patients | |
| Allara Medical Group PA | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1376205104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11431 NW 9TH TER",
"city": "YUKON",
"state": "OK",
"postal_code": "730995004",
"telephone_number": "314-681-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11431 NW 9TH TER",
"city": "YUKON",
"state": "OK",
"postal_code": "730995004",
"telephone_number": "314-681-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORITZ",
"first_name": "DAINA",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-08",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "LD2636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.