Jessica Moura, MS, RD, CSSD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

60537083 Issued in WA

Practice address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001

Phone

(253) 691-7037

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Murray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: jessica.murray.p1@direct.aphcv.nextgenshare.com

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1659706158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 SAINT MICHAEL ST APT 413",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366021305",
            "telephone_number": "253-691-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "253-691-7037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "758 Saint Michael St Apt 413",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366021305",
            "country_code": "US",
            "telephone_number": "253-691-7037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURA",
        "first_name": "JESSICA",
        "credential": "MS, RD, CSSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "FL",
            "license": "9674",
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "WA",
            "license": "60537083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MURRAY",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Michael Moore, O.D.
• Alexandra Paige Morgan, AUD
• Frank Chen Morgan, D.O.
• Nicole Leilani Morimoto, OTR
• Cindy L Morita, LCSW
• Asya Mu'Min, M.D.
• Michael Joseph Mulcahy, M.D.
• Dolores Mullikin, M.D.
• Ricardo Munguia, MD
• Michele L Murakoshi, LCSW

• Sports Dietetics Nutrition Registered Dietitian in Tripler Army Medical Center, HI
• Providers in Tripler Army Medical Center, HI by specialty
• Sports Dietetics Nutrition Registered Dietitian in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; 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.