Individual provider Active NPI

Holli Mootz, RDN

  • Registered Dietitian
  • Warwick, RI
National Provider Identifier
1811766322
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN01161 Issued in RI
Practice address
811 Warwick Ave Apt 5L
Warwick, RI 02888-2600
Phone
(660) 281-8849
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 LDN01161 RI Primary

Addresses

Primary practice location

811 Warwick Ave Apt 5L
Warwick, RI 02888-2600

Mailing address

811 Warwick Ave Apt 1
Warwick, RI 02888-2671

Other practice location 1

469 Centerville Rd Ste 101
Warwick, RI 02886-4355
Phone (660) 291-8849

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624002991 RI Practitioner - Registered Dietitian Or Nutrition Professional 2668984709 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simple Roots Nutrition LLC Dietitian, Registered CurrentSince May 16, 2025 Accepting new patients

Locations

469 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 320-7101

Organizations & group practices 1

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": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1811766322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WARWICK AVE APT 1",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028882671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WARWICK AVE APT 5L",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028882600",
            "telephone_number": "660-281-8849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 Centerville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864355",
            "country_code": "US",
            "telephone_number": "660-291-8849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOTZ",
        "first_name": "HOLLI",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN01161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.