Anthony Moore

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Phone

(888) 838-1303

NPI assigned

Oct 3, 2023

Last updated

Apr 13, 2026By 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

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1669252037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 CYPRESS PT",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781082509",
            "telephone_number": "810-877-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 MT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136022603",
            "telephone_number": "888-838-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elaine Minick
• Heather Minue, PT, DPT, ATC
• Diane Misercola, DENTAL HYGIENIST
• Joseph Genaro Mollura
• Jennifer L Monahan, BSN RN
• Bailey Moorhead Beardsley, DMD
• Vanessa Mori-Barr, LCSW
• Savitri Motaparthi, M.D.
• Nancy Elizabeth Munoz, PA-C
• Kenneth Ordiz Mutia

• Registered Dietitian in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.