Jennifer Jane Moffett, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2001007655 Issued in MO

Practice address

1380 Bluefield Dr
Florissant, MO 63033-2102

Phone

(314) 344-6000

Fax

(314) 344-6936

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1467728063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DR.",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442588",
            "telephone_number": "314-344-6000",
            "fax_number": "314-344-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 BLUEFIELD DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332102",
            "telephone_number": "314-344-6000",
            "fax_number": "314-344-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "JENNIFER",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2001007655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Mitchell
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• Geoffrey J Moeller, LCSW
• Fatuma Dahir Mohamed
• Kareemah Ayesha Moment
• Catina Mondaine, LPTA, LNHA
• Jessica Marie Monroe, D.D.S
• Marnay Marion Moody

• Registered Dietitian in Florissant, MO
• Providers in Florissant, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.