Joy D Moorehead, R.D., C.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00002000 Issued in WA

Practice address

515 M St NE
Auburn, WA 98002-4422

Phone

(855) 287-8348

Fax

(877) 532-1805

NPI assigned

Oct 28, 2007

Sex

Female

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

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1740469683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21230 SE 270TH ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383142",
            "telephone_number": "206-295-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 M ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024422",
            "telephone_number": "855-287-8348",
            "fax_number": "877-532-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7828 Waldrick Rd SE",
            "address_purpose": "LOCATION",
            "city": "Tenino",
            "state": "WA",
            "postal_code": "985899454",
            "country_code": "US",
            "telephone_number": "206-295-6810",
            "fax_number": "877-532-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOREHEAD",
        "first_name": "JOY",
        "middle_name": "D",
        "credential": "R.D., C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-28",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00002000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David K. Montgomery, DC
• Joseph M Montgomery, ATC
• Isabel Moore, PT
• John Magraw Moore
• Terri Lynn Moore, LMP
• Maria Angela Moral Motta, RN
• Timothy R Morford, LMP
• Morgan Counseling Inc.
• Jodine Morgan
• Kelly Morris

• Registered Dietitian in Auburn, WA
• Providers in Auburn, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.