Individual provider Active NPI

Jenna Moore, MS, RD, LD

  • Registered Dietitian
  • Oxford, MS
National Provider Identifier
1649998717
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D1294 Issued in MS
Practice address
202 Creekwood CV
Oxford, MS 38655-8389
Phone
(662) 202-8007
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 D1294 MS Primary

Addresses

Primary practice location

202 Creekwood CV
Oxford, MS 38655-8389

Mailing address

202 Creekwood CV
Oxford, MS 38655-8389
Phone (662) 202-8007

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.moorenutritionforbetterhealth.com Direct

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D1294MSMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1649998717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CREEKWOOD CV",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558389",
            "telephone_number": "662-202-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CREEKWOOD CV",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558389",
            "telephone_number": "662-202-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNA",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.moorenutritionforbetterhealth.com",
            "affiliation": "N",
            "endpointDescription": "professional website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 Creekwood Cv",
            "city": "Oxford",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386558389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.