Dejuan JP Moore, RD, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L006686 Issued in NC

Practice address

415 Pisgah Church Road PMB 321
Greensboro, NC 27455-2590

Phone

(336) 609-0963

NPI assigned

Jul 28, 2022

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moore Health and Nutrition Solutions

  • Registered Dietitian
  • Greensboro, NC
  • NPI 1003541228

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1548996879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 PISGAH CHURCH ROAD PMB 321",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552590",
            "telephone_number": "336-609-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 PISGAH CHURCH ROAD PMB 321",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552590",
            "telephone_number": "336-609-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEJUAN",
        "middle_name": "JP",
        "credential": "RD, RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Rankin Moore, LCSW
• Austin Moore, PT, DPT
• Carrie Moore, PH.D.
• Christina Moore, LCSW
• Deborah Harris Moore, LCSW
• Destiny R Moore, MPH, IBCLC
• Erika Moore
• Gwendolyn Moore, NCC, LCMHC
• James Ervin Moore Jr., PA-C
• Janece Moore, FNP-BC

• Registered Dietitian in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.