Teran Leslie Moon, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0000000917 Issued in TN

Practice address

1400 Dowell Springs Blvd Ste 119
Knoxville, TN 37909-2456

Phone

(865) 924-3902

Fax

(865) 205-8506

NPI assigned

May 18, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1851957419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 CLEAR RIDGE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225487",
            "telephone_number": "865-924-3902",
            "fax_number": "865-205-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD STE 119",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092456",
            "telephone_number": "865-924-3902",
            "fax_number": "865-205-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "TERAN",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "0000000917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elizabeth Moody, DMD
• Reilly Carolina Moody
• Abhilash Moolupuri, MD
• Melissa S Moon, RN
• Steven Taylor Moon, DNP, CRNA, APRN
• Nicole E Mooney, ATC
• Kyle Moore-Price
• Alan Joseph Moore
• Amber Moore
• Amber Leeann Moore

• Registered Dietitian in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.