Mary Katherine Moses, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1094705 Issued in LA

Practice address

155 Hospital Dr
Lafayette, LA 70503-2852

Phone

(337) 289-7999

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1730707449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ELMWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035218",
            "telephone_number": "337-303-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-289-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Elmwood Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705035218",
            "country_code": "US",
            "telephone_number": "337-303-8475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "1094705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Morris, APRN
• Christopher Jude Morrow, R.PH., BSPHARM
• Robert Louis Morrow Jr., M.D.
• Tianna M Morton, MD
• Francis J Morvant, D.C.
• Willard Warren Mosier Jr., M.D.
• Moss Street Kid Med LLC
• Moss Street Medical Clinic Inc
• Samuel R, Moss, DDS
• Mother'S Promise

• Registered Dietitian in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.