Active NPI
Janet Lynne Moore, MS RD
- Registered Dietitian
- Sacramento, CA
National Provider Identifier
1801949144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 840030
- Practice address
- 2825 J St
435
Sacramento, CA 95816-4300 - Phone
- (916) 978-0300
- Fax
- (916) 978-0333
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 840030 | CA | Primary |
Addresses
Primary practice location
2825 J St
435
Sacramento, CA 95816-4300
Mailing address
2825 J St
Sacramento, CA 95816-4300
Phone (916) 978-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 840030 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
| St Moritz Medical Center Inc | Past | Accepting new patients |
Locations
515 S Flower St
#1015
Los Angeles, CA 90071
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
1806 Highway 35
Ste 203A
Oakhurst, NJ 07755
10260 SW Greenburg Rd
Fl 44
Portland, OR 97223
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Nevada City, CA
- NPI 1336126499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1801949144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164300",
"telephone_number": "916-978-0300",
"fax_number": "916-978-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 J ST",
"address_2": "435",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164300",
"telephone_number": "916-978-0300",
"fax_number": "916-978-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JANET",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "MS RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "840030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.