Individual provider Active NPI

Taylor Moree, RD, LD, LMBT

  • Registered Dietitian
  • North Wilkesboro, NC
National Provider Identifier
1518489103
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005341 Issued in NC
Practice address
807 Main St Ste B
North Wilkesboro, NC 28659-4213
Phone
(336) 262-0851
NPI assigned
Jul 14, 2017
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD004907 GA
Registered Dietitian 133V00000X L005341 NC Primary
Massage Therapist 225700000X 8759 NC

Addresses

Primary practice location

807 Main St Ste B
North Wilkesboro, NC 28659-4213

Mailing address

139 Fairview Dr
Boone, NC 28607-4508
Phone (336) 262-0851

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

State licenses

LicenseStateTypeSpecialty
8759NCMDProfessional Counselor
LD004907GAMDRegistered Dietitian
L005341NCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1518489103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FAIRVIEW DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074508",
            "telephone_number": "336-262-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MAIN ST STE B",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594213",
            "telephone_number": "336-262-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREE",
        "first_name": "TAYLOR",
        "credential": "RD, LD, LMBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004907",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005341",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "8759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.