Kristie Moore Tovar, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86012873 Issued in CA

Practice address

715 N Central Ave
Glendale, CA 91203-4262

Phone

(818) 731-5352

NPI assigned

Jul 5, 2016

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

Other names 1

• Kristie Moore Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Kristie Tovar Nutrition & Wellness Inc

  • Registered Dietitian
  • Glendale, CA
  • NPI 1255949616

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1801248612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27284 VIA MARCIA",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913501539",
            "telephone_number": "818-731-5352",
            "fax_number": "818-925-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034262",
            "telephone_number": "818-731-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912034262",
            "country_code": "US",
            "telephone_number": "818-731-5352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "KRISTIE",
        "middle_name": "MOORE",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2022-07-29",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86012873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://practicebetter.io/",
            "affiliation": "Y",
            "affiliationName": "Kristie Tovar Nutrition & Wellness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7817 Jayseel St",
            "city": "Sunland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910402511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "MOORE",
            "credential": "MS, RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Glendale, CA
• Providers in Glendale, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.