Individual provider Active NPI

Havalah Moore

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1598556441
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004882 Issued in NC
Practice address
2608 Erwin Rd Ste 200
Durham, NC 27705-4597
Phone
(919) 684-2471
Fax
(919) 681-1397
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L004882 NC Primary

Addresses

Primary practice location

2608 Erwin Rd Ste 200
Durham, NC 27705-4597

Mailing address

256 Still Pasture LN
Graham, NC 27253-4281
Phone (336) 549-7302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819000675 NC Practitioner - Registered Dietitian Or Nutrition Professional 3870092646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 110566
Durham, NC 27709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jun 2, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Jun 2, 2025 Accepting new patients
Duke University Health System, Inc. Dietitian, Registered CurrentSince Jun 2, 2025 Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

2608 Erwin Rd
Ste 200
Durham, NC 27705
Phone (919) 684-2595

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

11001 Durant Rd
Ste 114
Raleigh, NC 27614
Phone (919) 334-6828

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1598556441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 STILL PASTURE LN",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272534281",
            "telephone_number": "336-549-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 ERWIN RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054597",
            "telephone_number": "919-684-2471",
            "fax_number": "919-681-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HAVALAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.