Individual provider Active NPI

Caitlin Marie Moore, RD, LRD

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1750038014
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1349 Issued in ND
Practice address
160 N Wacker Dr Unit 201
Chicago, IL 60606-1633
Phone
(866) 758-4388
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1349 ND Primary

Addresses

Primary practice location

160 N Wacker Dr Unit 201
Chicago, IL 60606-1633

Mailing address

160 N Wacker Dr Unit 201
Chicago, IL 60606-1633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915002067 ND Practitioner - Registered Dietitian Or Nutrition Professional 0648655399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1349NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Apr 25, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Apr 25, 2022 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

1717 University Dr S
Fargo, ND 58103
Phone (701) 234-2305

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

736 Broadway N
Fargo, ND 58102
Phone (701) 234-2353

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 3

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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1750038014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N WACKER DR UNIT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N WACKER DR UNIT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061633",
            "telephone_number": "866-758-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "credential": "RD, LRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ND",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.

Verify at the official NPI Registry.