Active NPI
Emily C. Moore, RDN, LDN
- Registered Dietitian
- Pittsfield, MA
National Provider Identifier
1770364705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN6591
- Practice address
- 777 North St
Pittsfield, MA 01201-4147 - Phone
- (413) 499-8531
- NPI assigned
- Oct 5, 2023
- Last updated
- Oct 5, 2023
- 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 | LDN6591 | MA | Primary |
Addresses
Primary practice location
777 North St
Pittsfield, MA 01201-4147
Mailing address
PO Box 30
Great Barrington, MA 01230-0030
Phone (413) 528-9311
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 |
|---|---|---|---|
| LDN6591 | MA | MD | Registered Dietitian |
Interoperability endpoints
- emily.moore.1@3792.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1770364705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012300030",
"telephone_number": "413-528-9311",
"fax_number": "413-528-8583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014147",
"telephone_number": "413-499-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "EMILY",
"middle_name": "C.",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-05",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN6591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.