Active NPI
Laura Michelle Moore, RD
- Registered Dietitian
- Boston, MA
National Provider Identifier
1467955443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86060415
- Practice address
- 150 S Huntington Ave
Boston, MA 02130-4893 - Phone
- (857) 364-6969
- NPI assigned
- Mar 15, 2018
- 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 | 86060415 | Primary |
Addresses
Primary practice location
150 S Huntington Ave
Boston, MA 02130-4893
Mailing address
150 S Huntington Ave
Boston, MA 02130-4893
Phone (857) 364-6969
Other practice location 1
3727 Parker Blvd
Pueblo, CO 81008-2218
Phone (719) 585-3400 ext. 542
Other practice location 2
411 Oak St
Cincinnati, OH 45219-2504
Phone (513) 984-1800
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Adult Day Services | Past | Accepting new patients | |
| Sterling Medical Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Cincinnati, OH
- NPI 1336226729
-
- Adult Day Care Clinic/Center
- Colorado Springs, CO
- NPI 1497927529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1467955443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021304893",
"telephone_number": "857-364-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021304893",
"telephone_number": "857-364-6969"
}
],
"practiceLocations": [
{
"address_1": "3727 Parker Blvd",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810082218",
"country_code": "US",
"telephone_number": "719-585-3400 x542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 Oak St",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192504",
"country_code": "US",
"telephone_number": "513-984-1800",
"fax_number": "513-984-4909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "LAURA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86060415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.