Patti Pinkerton Moon, RD, CDE, CSSD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

859707 Issued in CA

Practice address

825 Evelyn Ave
Albany, CA 94706

Phone

(707) 365-2112

NPI assigned

Aug 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Patricia Emily Pinkerton Former name

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1548450810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 EVELYN AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061720",
            "telephone_number": "707-365-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EVELYN AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "94706",
            "telephone_number": "707-365-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 West St Apt B",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956883800",
            "country_code": "US",
            "telephone_number": "707-365-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "PATTI",
        "middle_name": "PINKERTON",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE, CSSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "859707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "PINKERTON",
            "middle_name": "EMILY",
            "prefix": "MISS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Mintz, LCSW
• Christine Martin Mirov
• Dean Kenneth Mizono, DDS
• Matthew John Koji Mizono, DDS
• Katja E Mohr, PSYD
• Dashal Moore, LAC
• William Ward Moore, DDS
• Michelle Morello, OTR/L
• Lauren Heather Mueller, ED.S.
• Richard Owen Murdoch, MD

• Registered Dietitian in Albany, CA
• Providers in Albany, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.