Active NPI
Elizabeth Grace Moody, RDN/LD, CSOWM
- Registered Dietitian
- Norman, OK
National Provider Identifier
1831928720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1849
- Practice address
- 1004 Shadowlake Rd
Norman, OK 73071-6877 - Phone
- (405) 973-7841
- NPI assigned
- Jul 29, 2024
- 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 | 1849 | OK | Primary |
Addresses
Primary practice location
1004 Shadowlake Rd
Norman, OK 73071-6877
Mailing address
629 W Main St # 1049
Oklahoma City, OK 73102-2221
Phone (405) 777-7261
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 |
|---|---|---|---|
| 1849 | OK | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moody Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
629 W Main St
Oklahoma City, OK 73102
Phone (405) 345-5366
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": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1831928720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 W MAIN ST # 1049",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731022221",
"telephone_number": "405-777-7261",
"fax_number": "405-337-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 SHADOWLAKE RD",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716877",
"telephone_number": "405-973-7841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "ELIZABETH",
"middle_name": "GRACE",
"credential": "RDN/LD, CSOWM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.