Active NPI
Vicki M Moore, RD, LDN
- Registered Dietitian
- Albemarle, NC
National Provider Identifier
1700177151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003324
- Practice address
- 301 Yadkin St
Albemarle, NC 28001-3441 - Phone
- (704) 983-7820
- NPI assigned
- Apr 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L003324 | NC | Primary |
Addresses
Primary practice location
301 Yadkin St
Albemarle, NC 28001-3441
Mailing address
10019 Treeside LN
Matthews, NC 28105-7223
Phone (973) 489-7870
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L003324 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1700177151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10019 TREESIDE LN",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281057223",
"telephone_number": "973-489-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 YADKIN ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013441",
"telephone_number": "704-983-7820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "VICKI",
"middle_name": "M",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-20",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.