Tracy Moore, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-D-10266883 Issued in OR

Practice address

205 SE Spokane St Ste 356
Portland, OR 97202-6494

Phone

(503) 388-4255

Fax

(503) 608-4533

NPI assigned

Mar 4, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in AZ, OR2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Amns Oregon, LLC

  • Registered Dietitian
  • Portland, OR
  • NPI 1619867835

  Dietitian, Registered

  Medicare reassignment NPD
• Am Nutrition Services

  • Registered Dietitian
  • Glendale, AZ
  • NPI 1003011602
  Medicare reassignment

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1588024483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "503-388-4255",
            "fax_number": "503-608-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 356",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026494",
            "telephone_number": "503-388-4255",
            "fax_number": "503-608-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TRACY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10266883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Moore
• Steve Moore, PHD, MS, MBA, FACMG
• Suzanne Michelle Moore
• Tasha Ann Moore, QMHA
• Tieara Elizabeth Moore
• Tyna Lee Moore, N.D., D.C.
• Vicki Darlene Moore, RN, MSN, ACNP
• Vincent Andrew Moore, MD, MPH&TM
• Wendy Michel Moore, MA PHYSICAL THERAPY
• William Moore, D.M.D.

• Registered Dietitian in Portland, OR
• Providers in Portland, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.