Active NPI
Susan B Moyers, PHD. MPH. LDN.
- Nutrition Education Nutritionist
- Tampa, FL
National Provider Identifier
1528286655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- ND3395
- Practice address
- 4522 W Village Dr
Suite 129
Tampa, FL 33624-3429 - Phone
- (813) 948-9040
- Fax
- (813) 482-0014
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | ND3395 | FL | Primary |
| Registered Dietitian | 133V00000X | ND3395 | FL | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | ND3395 | FL | |
| Research Study Specialist | 1744R1102X |
Addresses
Primary practice location
4522 W Village Dr
Suite 129
Tampa, FL 33624-3429
Mailing address
4522 W Village Dr
Suite 129
Tampa, FL 33624-3429
Phone (813) 948-9040
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1528286655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4522 W VILLAGE DR",
"address_2": "SUITE 129",
"city": "TAMPA",
"state": "FL",
"postal_code": "336243429",
"telephone_number": "813-948-9040",
"fax_number": "813-482-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4522 W VILLAGE DR",
"address_2": "SUITE 129",
"city": "TAMPA",
"state": "FL",
"postal_code": "336243429",
"telephone_number": "813-948-9040",
"fax_number": "813-482-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYERS",
"first_name": "SUSAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHD. MPH. LDN.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "FL",
"license": "ND3395",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND3395",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "FL",
"license": "ND3395",
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.