Active NPI
Katie Moore, RDN
- Registered Dietitian
- Ripley, WV
National Provider Identifier
1700501392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006109
- Practice address
- 346 3Rd Ave
Ripley, WV 25271-1530 - Phone
- (304) 531-2829
- NPI assigned
- Oct 6, 2022
- 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 | DN006109 | PA | Primary |
Addresses
Primary practice location
346 3Rd Ave
Ripley, WV 25271-1530
Mailing address
370A Main St W
Ripley, WV 25271-1427
Phone (304) 531-2829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN006109 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katie Moore LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
370A Main St W
Ripley, WV 25271
Phone (304) 531-2829
105 Court St N
Ripley, WV 25271
Phone (304) 531-2829
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1700501392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370A MAIN ST W",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711427",
"telephone_number": "304-531-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 3RD AVE",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711530",
"telephone_number": "304-531-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KATIE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ripley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.