Amy Moore, RD, LD, CDE

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

1287 Issued in OK

Practice address

12716 N.E. 36TH Street
Oklahoma City, OK 73140

Phone

(405) 769-3301

NPI assigned

Apr 12, 2007

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

Enrolled in OK

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers, Inc. 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Health Centers Inc.

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
  • NPI 1265415806

  OK

  Medicare reassignment Care Compare group NPD
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
  • NPI 1679348908
  Care Compare group NPD
• Community Health Centers Inc.

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
  • NPI 1376725812
  Care Compare group NPD (past)
• Community Health Centers Inc.

  • Federally Qualified Health Center (FQHC)
  • Langston, OK
  • NPI 1437133790
  Care Compare group
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
  • NPI 1023091519
  Care Compare group
• Community Health Centers, Inc.

  • Community/Retail Pharmacy
  • Oklahoma City, OK
  • NPI 1588648703
  Care Compare group
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Carney, OK
  • NPI 1699030528
  Care Compare group
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Shawnee, OK
  • NPI 1851727754
  Care Compare group

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801010095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30589",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731403589",
            "telephone_number": "405-769-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12716 N.E. 36TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73140",
            "telephone_number": "405-769-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 North East 13th Street",
            "address_2": "2B2426",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045008",
            "country_code": "US",
            "telephone_number": "405-271-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMY",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OK",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Moore
• Allison K Moore, D.O.
• Alyxandra Michelle Moore, DNP
• Amanda Nicole Moore, R.D.H.
• Amy Moore
• Anache Moore
• Andrew Moore, M.D.
• Andrew Edward Moore, LPC
• Antwon Demetrius Moore
• Ashley Michelle Moore, M.D.

• All providers in Oklahoma City, OK
• Pediatric Nutrition Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.